BILL OF SALE FOR MOTOR VEHICLE

FOR GOOD AND VALUABLE CONSIDERATION, including the payment of $____________________, the receipt and sufficiency of which is hereby acknowledged, _____________________________ ("SELLER") hereby sells and transfers to the following motor vehicle: PURCHASE PRICE ($): RELATIONSHIP OF BUYER TO SELLER: Make: Color: License Plate State: VIN# (Vehicle Identification Number): Model: Odometer Reading (Miles): License Plate Number: Year: or GIFT VALUE ($) AND _______ ____________ ("BUYER")

WARRANTY:
The SELLER warrants that it is the legal owner of the said vehicle, that the said vehicle is being sold free and clear of all claims and encumbrances, that the SELLER has the full right and authority to sell and transfer same, and that the SELLER will hold harmless and indemnify the BUYER from all claims adverse thereto. The SELLER has verified that the BUYER was of legal age to execute this contract on the date hereof. The said motor vehicle is being sold "as is" without any express or implied warranty as to condition or working order. There is no warranty for any defect and all repairs are the responsibility of the BUYER unless the SELLER indicates any repairs for which he/she/they will pay and be responsible for. If any repairs are to be made by the SELLER they will be listed here: It is agreed that repairs to the vehicle as listed below (circle one) will / will not be made, and that the following accessories, upgrades, and/or aftermarket parts (circle one) will / will not be included:

www.FreeBusinessForms.com

SELLER and BUYER declare under penalty of perjury that to the best of their knowledge all disclosures to each other in connection with the above transaction, and all other information on this Bill Of Sale, is true and correct. Seller Name(s): Seller Signature(s): Seller Street Address(es): City: Date Signed: State: Zip Code:

Buyer Name(s): Buyer Signature(s): Buyer Street Address(es): City: Date Signed: State: Zip Code:

This Section For Notary:

www.FreeBusinessForms.com

ODOMETER DISCLOSURE STATEMENT

Federal law (and State law, if applicable) requires that you state the mileage upon transfer of ownership. Failure to complete or providing a false statement may result in fines and/or imprisonment. Selling individuals and purchasing individuals who are not licensed dealers, are also required by the Federal Truth-in-Mileage Act of 1986 to disclose the odometer reading of a vehicle upon transfer. I, ____________________________________________, state that the odometer now reads ___________________ miles and to the best of my knowledge it reflects the actual mileage of the vehicle described below unless one of the following statements is checked: ______ I hereby certify that to the best of my knowledge the odometer reading reflects the amount of mileage in excess of its mechanical limits. ______ I hereby certify that the odometer reading is NOT the actual mileage. WARNING: ODOMETER DISCREPANCY

VEHICLE DESCRIPTION Make: ________________Model: __________________Year:_________ Color:_____________ Number of Cylinders _____ Number of Doors_________ VIN #: (Vehicle Serial Number) ______________________________ License Plate Number___________________ Sellers Name_____________________________________________ Sellers Signature__________________________________________ Co-Owners Name If One____________________________________

www.FreeBusinessForms.com

Co-Owners Signature_______________________________________ Sellers Street Address______________________________________ City____________________ State__________ Zip Code __________ Date of Statement____________________ Date Transferred__________________

Buyers Name_____________________________________________ Buyers Signature__________________________________________ Co-Buyers Name If One____________________________________ Co-Buyer Signature_______________________________________ Buyers Street Address______________________________________ City____________________ State__________ Zip Code __________ Date Signed_________________

www.FreeBusinessForms.com