MOTOR VEHICLE BILL OF SALE

In consideration of the sum of $_____________dollars, I/we do hereby bargain, sell and

deliver unto _________________________________________________________

whose address is _______________________________________, the following vehicle

------------------ ---------------------- --------------------- -------------------------

(year) (make) (body style) (model)

VIN Number _____________________

I/we affirm to be the true and lawful owner of said vehicle and the vehicle is free and
clear of all liens and encumbrances. Under penalty of perjury in the second degree, we
swear and affirm that the above information is true and correct to the best of our
knowledge.

Date Purchased: __________________________

Time of Sale: _____________________
Seller’s Printed Name: _______________________________
Seller’s Signature: ________________________

Buyer’s Printed Name: __________________________

Buyer’s Signature: _______________________________

Aperson may operate a motor vehicle upon the highway before registering the vehicle if the vehicle was purchased
within the last 36 hours from a person who is not a licensed motor vehicle dealer.

The requirements are:

1. The vehicle must have been purchased either on a Saturday, Sunday, legal holiday or between 5:00 p.m.
and 8:00 a.m.
2. The vehicle is being driven from the place where the seller stored the vehicle to the place where the buyer
intends to store the vehicle.
3. The buyer possesses in the vehicle a bill of sale that shows the time and date of sale and that is signed by
both the buyer and seller.
4. The buyer possesses in the vehicle proof of insurance.
Effective 1/1/05 as a result of Senate Bill 05-014

   
   
    MV 4 (Revised 1/14)