BILL OF SALE
I,

Clear Form

Print

of
(Seller’s Full Name)

(Address)
(Zip Code)

(State)

(City)

, agree to sell, transfer and convey all rights, title, and interest in the below described vehicle to
of

(Buyer’s Full Name)

for the total sum of
(State)

(Zip Code)

(Address)

$

(City)

, the receipt of which is hereby acknowledged.

Vehicle Information
Model

Make

Body Style

Year

Price

Color

Vehicle Identification Number (VIN)

Vehicle Condition

Federal and state law require the mileage of the vehicle to be provided upon transfer of ownership. Failure to complete this or providing a false statement may
result in fines and/or imprisonment. I certify to the best of my knowledge that the vehicle’s odometer reading now reads:
Miles.

The odometer reading:
✔ Reflects the actual mileage of the vehicle described above

Reflects an amount of mileage in excess of its mechanical limits (odometer started over at zero)
Does not reflect the actual mileage (WARNING – ODOMETER DISCREPANCY)

(Buyer's Name in Print)

(Buyer’s Signature)

(Date)

(Seller's Name in Print)

(Seller’s Signature)

(Date)

Keep this copy for your records

BILL OF SALE
I,

of
(Seller’s Full Name)
(State)

(Address)
(Zip Code)

(City)

, agree to sell, transfer and convey all rights, title, and interest in the below described vehicle to
of

(Buyer’s Full Name)

for the total sum of
(State)

(Zip Code)

(Address)

$

(City)

, the receipt of which is hereby acknowledged.

Vehicle Information
Model

Make

Body Style

Year
Color

Price
Vehicle Identification Number (VIN)

Vehicle Condition

Federal and state law require the mileage of the vehicle to be provided upon transfer of ownership. Failure to complete this or providing a false statement may
result in fines and/or imprisonment. I certify to the best of my knowledge that the vehicle’s odometer reading now reads:
Miles.

The odometer reading:
Reflects the actual mileage of the vehicle described above
Reflects an amount of mileage in excess of its mechanical limits (odometer started over at zero)
Does not reflect the actual mileage (WARNING – ODOMETER DISCREPANCY)

(Buyer's Name in Print)

(Buyer’s Signature)

(Date)

(Seller's Name in Print)

(Seller’s Signature)

(Date)