VEHICLE BILL OF SALE
A Bill of Sale releases interest in a vehicle. A Certificate of Title or other ownership documents must accompany this
form.
INSTRUCTIONS:
• All areas must be completed in full.
• Complete the buyer area exactly as the new Certificate Title will be printed.
• If no liens exist write the word “NONE”.
• Any alterations or erasures will require additional verification.
Please print or type
Know all men by these presents

Date: ______________________ Time: _______________

That in consideration of _________________________________________ Dollars ($ ___________) and all other
value consideration, the receipt whereof is hereby acknowledged, the undersigned (seller) does hereby sell, transfer,
and deliver unto:
Full Legal Name of Buyer(s) ____________________________________________________
First

Middle

Last

_______________________________________________________________________
First

Middle

□
□

and
or

Last

Buyer’s Signature
_______________________________________________________________________________________________
Address
_______________________________________________________________________________________________
Street

City

State

his/her right, title and interest in and to the following described vehicle:
Year ______________ Make ______________________________________

Zip Code

Model _________________________

Vehicle Identification Number

Buyer certifies Lien in favor of
_______________________________________________________________________________________________
Name of business or individual holding lien

Lienholder Address
_______________________________________________________________________________________________
Street

City

State

Zip Code

The seller(s) certifies under penalty of perjury in the second degree, that he/she is the lawful owner of said vehicle; that
he/she has the right to sell the aforesaid; and that he/she will warrant and defend the title of same against the claims
and demands of all persons whomever except lienholder noted above.

Seller’s Full Legal Name

_______________________________________________________________________________
First

Middle

Last

Seller’s Signature ________________________________________________________ Date: ___________________
Seller’s Address
_______________________________________________________________________________________________
Street

MV/039 REV 7/06

City

State

Zip Code