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Bill of Sale For Motor Vehicle
BILL OF SALE FOR MOTOR VEHICLE
**TO BE FILLED OUT BY SELLER**
Model yr. Make Model no./name Body style Color
________ _____ ______________ ___________ ______
Odometer reading Vehicle Ident. Number Date of Purchase
________________ _____________________ ________________
Seller's Reg. No. Have you previously filed
application for title for
________________ this vehicle: Yes___ No___
Seller's Name:_____________________ Street and No.________________
City or Town:______________________ State:________________________
AS OWNER OF THIS VEHICLE, I HEREBY TRANSFER OWNERSHIP TO;
Buyer's Name:______________________ Street and No. _______________
City or Town:______________________ State:________________________
For the Sum of $_________________
I purchased this vehicle from:_____________________________________
Name
_______________________________ ______________________ __________
Street and Number City or Town State
I DECLARE UNDER THE PENALTIES OF PERJURY THAT THE STATEMENTS HEREIN
CONTAINED ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND
BELIEF.
__________________________________
Seller
SWORN TO AND SUBSCRIBED BEFORE ME THIS_______________day of ______
19__.
___________________________________
Notary Public - Justice of Peace
My Commission Expires: ____________
THIS VEHICLE MUST BE TAKEN TO,IN STATES WHERE REQUIRED, THE
APPROPRIATE REGISTRY OFFICE, LOCAL POLICE STATION, STATE POLICE
BARRACKS OR M.D.C. POLICE STATION FOR VEHICLE IDENTIFICATION NUMBER
INSPECTION BEFORE DELIVERY TO BUYER.
Form 215
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