Bill of Sale Moped

In the State of: ______________ _ County: ________________

Vehicle and Seller Information:

I, ___________________ (Seller Name) of, _____________________________________________________________ (Street),

____________________________________ (City, State, Zip code) hereby certify that I am the lawful owner of this vehicle:

Year ___________ Make ________________________________ Model _________________________________________

VIN _______________________________________________ Miles _________________ Hours ______________________

B u y e r an d S a l e I n f o r m a t i o n :

I hereby, and with full authority, transfer ownership of the above vehicle to __________________________ (Buyer Name) of

_____________________________________________ (Street), ______________________________ (City, State, Zip code), in

exchange for payment of $___________________, or ___________________________________________________ Dollars

on ___________ (Date).

Additional Agreements :

______ The buyer acknowledges that the above vehicle is being sold AS IS, and the buyer assumes all responsibility for future
Initial damages and/or liabilities resulting from the use of this vehicle. The buyer also agrees to secure their own insurance.

______ The seller acknowledges and certifies that this vehicle is free of any liens or other collections at the time of sale and
Initial agrees to hold the buyer harmless for any valid claims made against said vehicle.

S i gn at u r e s :

___________________________________ __________ ___________________________________ __________

Seller Signature Date Buyer Signature Date

______________________________________________________ ______________________________________________________
Witness 1 Signature Witness 2 Signature

______________________________________________________ ______________________________________________________
Witness 1 Address Witness 2 Address

(or)

Sworn to and subscribed before me this _________ day of __________________________, 20______.

________________________________________________ My Commission Expires: ________________________________________

Notary Public Signature