Auto Bill of Sale

(To Be Filled Out By Seller)

Make ___________ Model ___________ Year ___________ Style ___________ Color ___________ Odometer reading ___________ Vehicle Identification Number __________ Date of Purchase ____

Seller's Registration number _______ Have you previously filed application for title for _______ this vehicle:

Yes ___ No ___

Seller's Name: __________________ Street and No. _______________ City: _______________ State: _________

AS OWNER OF THIS VEHICLE, I HEREBY TRANSFER OWNERSHIP TO:

Buyer's Name: ____________________ Street and No. ______ City: _______________ State: _________

For the Sum of $ _________________

I purchased this vehicle from: __________________ Name Street and No. _______________ City: _______________ State: _________

I DECLARE UNDER PENALTY OF PERJURY THAT THE STATEMENTS HEREIN CONTAINED ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF.

__________________________________
Seller

Date: _________

If Required By State Law

This Section for Notary:

ACKNOWLEDGMENT

State of _________

County of ________ [COUNTY]

On [DATE] before me, [NAME OF NOTARY], notary, personally appeared [NAME OF PERSON(S) INVOLVED], personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.

Witness my hand and official seal.

Signature ________
Notary

My commission expires: _____

(Seal)

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