Vehicle identication: Make / Model : Mileage: Number plate: VIN, vehicle identication number (= chassis nbr.) : 1st registered on : Between: The seller Family name: First name: Address : The buyer Family name: First name: Address : State of the vehicle : Has the vehicle been involved in an accident? yes no Please list any faults * : The seller pledges to have the following work carried out on the vehicle at his/her own expense: Particular clauses: Sale price ( ): The following accessoires are included in the sale price: Delivered in 2 originals in , on Signature of the seller: Signature of the buyer: By signing a second time, the seller achnowledges receipt of the sum of (euros) Signature of the seller: *Please describe any apparent defects which the buyer accepts without claiming for repairs to be carried out or for compensation.