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SAMPLE2.TXT
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1992-09-25
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NOTE: Load and read the SAMPLE2A.txt copy before attempting to fill out this
Automobile Bill of Sale form. The numbers in parentheses refer to sections in
the SAMPLE2A.txt that explain how to fill in the "blanks" below. Notes on how
to properly use this form are also provided.
BILL OF SALE--AUTOMOBILE
KNOW ALL MEN by these presents, that on this ____________ (1) day of
________________________ (2), 199__ for the consideration of _____________ (3)
dollars ($_________) paid by _____________________ (4) of sufficiency of which
is hereby acknowledged, __________________________ (6) does hereby grant,
bargain, sell, convey and deliver to __________________________ (7) the
following described motor vehicle:
Make: ___________________________ (8)
Model: __________________________ (9)
Body type: ______________________ (10)
Year: ___________________________ (11)
Color: __________________________ (12)
VIN: ____________________________ (13)
Other: __________________________ (14)
TO HAVE AND TO HOLD the same unto ______________________ (7) and his/her
executors, administrators and assigns, forever.
AND ___________________ (6) hereby covenants to and with _____________ (7)
that __________________ (6) is the lawful owner of the above described motor
vehicle, that the same is free from all encumbrances whatsoever except
____________________ (15), that ___________________ (6) has good title and the
right to sell the same as aforesaid, and that _____________________ (6) will
warrant and defend the same against all lawful claims and demands whatsoever
except ___________________ (16).
WITNESSES:
_______________________________ (17) (4) _______________________________
Witness #1 Buyer
_______________________________ (17) (6) _______________________________
Witness #2 Seller
____________________________
NOTARY PUBLIC
In and For _________________ (18)
of _________________________ (19)
My Commission Expires: __________ (Seal)
Whenever an automobile is sold, the following Odometer Disclosure Statement
must also be completed by the seller and signed by both the seller and buyer.
In the first paragraph, the seller should fill in his name and the exact
odometer reading. He/she should also check one of the two statements that
follow (only if they apply) and fill in the vehicle information. Both parties
must sign the statement.
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.
I, _________________________, state that the odometer now reads
_________________ (no tenths) miles and to the best of my knowledge that 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--ODMOTER DISCREPANCY.
Make: ______________________________________ Model: ________________________
Body Type: _________________________________ Year: _________________________
Vehicle Identification Number (VID): __________________________________________
__________________________________ ___________________________________
(Seller's Signature) (Buyer's Signature)
__________________________________ ___________________________________
(Seller's Printed Name) (Buyer's Printed Name)
__________________________________ ___________________________________
(Seller's Address) (Buyer's Address)
__________________________________ ___________________________________
(City) (State/Zip) (City) (State/Zip)
Date of Statement: ___________________________