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

Buyers 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.

Sellers Full Legal Name

_______________________________________________________________________________
First

Middle

Last

Sellers Signature ________________________________________________________ Date: ___________________

Sellers Address
_______________________________________________________________________________________________
Street

MV/039 REV 7/06

City

State

Zip Code