MOTOR VEHICLE BILL OF SALE

1. VEHICLE INFORMATION

Make: [VEHICLE MAKE]
Model: [VEHICLE MODEL]
Year: [YYYY]
Style / Body Type: [VEHICLE BODY TYPE]
Color: [PAINT COLOR]
Odometer Reading: [VEHICLE MILES]
VIN: [VEHICLE IDENTIFICATION NUMBER]

2. THE PARTIES

Date of Sale: [MM/DD/YYYY]

Buyer:

Name: [BUYER NAME]
Address: [BUYER ADDRESS]
Phone #: [BUYER PHONE NUMBER]
Email: [BUYER EMAIL ADDRESS]

Seller:

Name: [SELLER NAME]
Address: [SELLER ADDRESS]
Phone #: [SELLER PHONE NUMBER]
Email: [SELLER EMAIL ADDRESS]

3. PAYMENT

Transaction type (check one):

☐ – OPTION 1 (PAYMENT) – The Buyer agrees to pay the following to the seller: $[TOTAL PAYMENT]

☐ – OPTION 2 (GIFT) – The Seller is giving the vehicle as a gift to the Buyer. The vehicle’s worth is: $[VEHICLE VALUE]

☐ – OPTION 3 (TRADE-IN) – The Buyer’s trade-in vehicle is valued at: $[TRADE-IN VALUE]

The Buyer agrees to pay the following to the seller: $[TOTAL PAYMENT]

The following is the information of the traded-in vehicle:

Trade-in Make: [TRADE-IN MAKE]
Trade-in Model: [TRADE-IN MODEL]
Style / Body Type: [TRADE-IN BODY TYPE]
Year: [TRADE-IN YEAR]
VIN #: [TRADE-IN VIN]
Odometer Reading: [TRADE-IN MILES]

Buyer agrees to pay Seller via the following (check one):

☐ – Cash
☐ – Cashier’s / Certified Check
☐ – Credit / Debit Card
☐ – Other: [OTHER PAYMENT METHOD]

Are taxes included in the purchase price? (check one):

☐ – Yes
☐ – No

Additional Terms & Conditions (Optional): [LIST ANY TERMS AND CONDITIONS HERE]

4. ODOMETER DISCLOSURE STATEMENT

Federal law requires that you state the mileage upon transfer of ownership. Failure to complete this or providing a false statement may result in fines and/or imprisonment.

I / We, [SELLER NAME], state that the odometer reading shown above is true and correct to the best of my knowledge and that it reflects the actual mileage of the vehicle described above UNLESS one of the following statements is checked:

☐ – I hereby certify that the odometer reading reflects the amount of mileage in excess of its mechanical limits to the best of my knowledge.
☐ – I hereby certify that the odometer reading is not the actual mileage.

5. SIGNATURES

IN WITNESS THEREOF, on [SIGNING DATE], the Buyer and Seller acknowledge that the Motor Vehicle is being sold without any representations (“as-is”) and that after the sale, the Seller shall not have any liability other than the details in this Bill of Sale.

Buyer’s Signature: ____________________ Date: [SIGNING DATE]
Printed Name: [BUYER NAME]

Seller’s Signature: ____________________ Date: [SIGNING DATE]
Printed Name: [SELLER NAME]

6. CERTIFICATE OF ACKNOWLEDGEMENT

STATE OF [NOTARY ONLY: STATE]
COUNTY OF [NOTARY ONLY: COUNTY]

On this [NOTARY: DATE], before me appeared
[NOTARY: BUYER NAME], [NOTARY: SELLER NAME], who proved to me through government-issued photo identification to be the above-named person(s), in my presence executed the foregoing instrument and acknowledged that he/she/they executed the same as his/her/their free act and deed.

___________________________________
Notary Public

My commission expires: [NOTARY: EXPIRATION]