Motor Vehicle Bill of Sale Form

MOTOR VEHICLE BILL OF SALE
1.) DATE / LOCATION OF SALE:
The following document was originated on this ____ day of _________________,
20____, within the County of _________________, State of _________________.
2.) TRANSFEROR / TRANSFEREE DETAILS:
The transferee (purchaser), _________________, whose mailing address is
________________________________________________,
and
the transferor (seller), _________________, whose mailing address is
________________________________________________,
agree to the following terms and conditions listed below:
3.) TRANSACTION SPECIFICS:
Select one of the following options that is applicable to your arrangement;
☐ - Monetary Payment - Purchaser will pay the sum of $_________________ to
the seller in exchange for the vehicle.
☐ - Trade-in - Purchaser offers their vehicle in exchange for credit towards the sales
price, as well as $_________________ to satisfy the cost. Vehicle description below:
Make: _______________ Model: _______________Year: _______________
Body Type: _______________ Color: _______________
Odometer Reading (in miles): _______________
☐ - Gift - The seller is gifting the vehicle to the purchaser free of charge. The Blue Book
Value of the vehicle is $_________________.
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The selection made above is for the legal transfer of ownership from the seller to the
buyer in regard to the motor vehicle described below:
4.) VEHICLE DESCRIPTION:
Make: _______________ Model: _______________ Year: _______________
Body Type: _______________ Color: _______________
Odometer Reading (in miles): _______________
VIN (Vehicle Identification Number) Number: __________________________
☐ - All municipal, state, & county taxes are included within the sales price.
☐ - Taxes are not included within the sales price.
Additional Provisions: ____________________________________________________
______________________________________________________________________
SELLER:
Signature: ________________________ Printed Name: ________________________
PURCHASER:
WITNESS #1:
WITNESS #2:

ACKNOWLEDGMENT OF NOTARY PUBLIC
State of _________________________
_________________________County, ss.
On this ____ day of _________________________, 20____,

_________________________ appeared before me as the Seller recorded on this bill
of sale and provided a government issued form of photo identification. In my presence,
the above-mentioned individual fulfilled the agreement and acknowledged that they
executed the same as their free act and deed.
_________________________
Notary Public
My Commission Expires: _________________________
State of _________________________
_________________________County, ss.
On this ____ day of _________________________, 20____,

_________________________ appeared before me as the Buyer recorded on this bill
of sale and provided a government issued form of photo identification. In my presence,
the above-mentioned individual fulfilled the agreement and acknowledged that they
executed the same as their free act and deed.
_________________________
Notary Public
My Commission Expires: _________________________

ODOMETER DISCLOSURE STATEMENT
Both FEDERAL and STATE LAW stipulates that individuals must document the
odometer reading (in miles) of any vehicle that is being transferred to a new owner.
Lack of correspondence with this rule may result in a penalty of the law (fine or
imprisonment).
I/We, _________________, attest to the best of my/our knowledge that vehicle being
transferred has an odometer reading of _________________ miles.
The above-mentioned odometer reading is the correct mileage, unless one of the
following statements below is check marked:
☐ - I hereby declare that the odometer reading shows the total number of miles in
excess of its mechanical limitations.
☐ - I hereby declare that the odometer reading is not the actual mileage.
Both parties (buyer & seller) agree that the motor vehicle is being transferred without
representations (AS-IS) and that once the transaction is complete, the seller is no
longer liable for anything other than the details contained within the bill of sale.
SELLER:
PURCHASER:
WITNESS #1:
WITNESS #2:

Motor Vehicle Bill of Sale Form

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What are the options for payment when purchasing a vehicle?

MOTOR VEHICLE BILL OF SALE

1.) DATE / LOCATION OF SALE:

The following document was originated on this ____ day of _________________,

20____, within the County of _________________, State of _________________.

2.) TRANSFEROR / TRANSFEREE DETAILS:

The transferee (purchaser), _________________, whose mailing address is

the transferor (seller), _________________, whose mailing address is

agree to the following terms and conditions listed below:

3.) TRANSACTION SPECIFICS:

Select one of the following options that is applicable to your arrangement;

☐ - Monetary Payment - Purchaser will pay the sum of $_________________ to

the seller in exchange for the vehicle.

price, as well as $_________________ to satisfy the cost. Vehicle description below:

Make: _______________ Model: _______________Year: _______________

Body Type: _______________ Color: _______________

Odometer Reading (in miles): _______________

Value of the vehicle is $_________________.

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buyer in regard to the motor vehicle described below:

4.) VEHICLE DESCRIPTION:

Make: _______________ Model: _______________ Year: _______________

Body Type: _______________ Color: _______________

Odometer Reading (in miles): _______________

VIN (Vehicle Identification Number) Number: __________________________

☐ - Taxes are not included within the sales price.

Additional Provisions: ____________________________________________________

Signature: ________________________ Printed Name: ________________________

Signature: ________________________ Printed Name: ________________________

Signature: ________________________ Printed Name: ________________________

Signature: ________________________ Printed Name: ________________________

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On this ____ day of _________________________, 20____,

On this ____ day of _________________________, 20____,

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transferred has an odometer reading of _________________ miles.

following statements below is check marked:

excess of its mechanical limitations.

Signature: ________________________ Printed Name: ________________________

Signature: ________________________ Printed Name: ________________________

Signature: ________________________ Printed Name: ________________________

Signature: ________________________ Printed Name: ________________________

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The following document was originated on this day of _____________,

20, within the County of _, State of _____.

Make: _______ Model: _Year: _________

Body Type: _ Color: _

Make: _______ Model: _ Year: _________

Body Type: _ Color: _

Signature: Printed Name:

Signature: Printed Name:

Signature: Printed Name:

Signature: Printed Name:

On this day of _________________, 20,

On this day of _________________, 20,

Signature: Printed Name:

Signature: Printed Name:

Signature: Printed Name:

Signature: Printed Name: