State of ______________

AUTO BILL OF SALE

I, ________________________ (the “Seller”), agree to sell, transfer and convey all rights, title and
interest in the below described vehicle (the “Vehicle”) to ________________________ (the “Buyer”) for
and in consideration of the total sum of $_______________, (Check one) ☐  inclusive of all sales tax
☐ plus any applicable sales tax, paid by: (Check all that apply)

☐  Personal check ☐ Cash

☐ Cashier's check ☐ Credit card
☐ Money order ☐ PayPal
☐ Other: _________________________________

and the receipt of which is hereby acknowledged. 

Vehicle Information
Model Make Year Price
______________________ ____________________ ______________ $_______________
Body Style Color Vehicle Identification Number (VIN)
___________________________ ___________________ ______________________________
Odometer Reading Notes
___________________________  ____________________________________________________
 
The condition of the vehicle is (Check one) ☐  NEW ☐  EXCELLENT ☐  VERY GOOD ☐ GOOD
☐  FAIR ☐  N/A.
 
Odometer Disclosure Statement
 
Federal and state law require the mileage of the Vehicle to be provided upon transfer of ownership.
Failure to complete this or providing a false statement may result in fines and/or imprisonment. The Seller
certifies to the best of his or her knowledge that the Vehicle’s odometer reading now
reads: _______________ miles.
 
The odometer reading: (Check one)

☐  Reflects the actual mileage of the Vehicle described above

☐  Reflects an amount of mileage in excess of its mechanical limits (odometer started over at
zero)
☐  Does not reflect the actual mileage (WARNING – ODOMETER DISCREPANCY) due to the
following reasons: ___________________________________________________________________
 
Certification
 
The Seller certifies to the Buyer that the Seller is the legal and rightful owner of the Vehicle and has full
right and authority to convey the same. The undersigned Seller declares under penalties of perjury
that the statements herein contained are true and correct to the best of his or her knowledge,
information and belief.
 
The undersigned Buyer accepts receipt of the Vehicle described herein and understands and
acknowledges that the Vehicle is sold in “AS IS” condition without any guarantees or warranties of any
kind, either express or implied, except for the following: _______________________________________
___________________________________________________________________________ (Optional).

Seller Information
Full Name Signature Date

________________________   _______________________
Address

__________________________________________________________________________________
Telephone E-mail
___________________________________________ _____________________________________

Buyer Information
Full Name Signature Date

________________________   _______________________
Address

__________________________________________________________________________________
Telephone E-mail
___________________________________________ _____________________________________
 NOTARY ACKNOWLEDGMENT

State of _________________ )
)
County of _________________ )
 
On this ______ day of _______________, 20______, before me personally appeared
________________________, known to me or satisfactorily proven to me to be the person whose name
is subscribed in the foregoing instrument, and acknowledged the due execution of the same.
 
 
 
_____________________________________
Signature
 
 
_____________________________________
Notary Public
 
My Commission Expires: ________________
 
 
 
 
State of _________________ )
)
County of _________________ )
 
On this ______ day of _______________, 20______, before me personally appeared
________________________, known to me or satisfactorily proven to me to be the person whose name
is subscribed in the foregoing instrument, and acknowledged the due execution of the same.
 
 
 
_____________________________________
Signature
 
 
_____________________________________
Notary Public
 
My Commission Expires: ________________