AS-IS BILL OF SALE

DATE: ___________________, 20____

I. THE PARTIES. This As-Is Bill of Sale (“Bill of Sale”) is entered into on the
undersigned date between the following:

Seller’s Name: ___________________

KARMART
Seller’s Mailing Address: ______________________________________
3502 MICHIGAN BLVD MICHIGANCITYIN 46360

AND

Buyer’s Name: ___________________

TIFFANY BROCK (“Buyer”)
Buyer’s Mailing Address: ______________________________________
3566 HIGH ST SOUTH BEND IN 46614

1500
II. SALE. Buyer agrees to pay $___________________ from the Seller: (check one)

☐ - Motor Vehicle
TOYOTA
Make: __________ RAV4
Model: __________ SUV
Body Type: __________
2004 SILVER
Year: __________ Color: __________ EXEMPT
Odometer: __________ Miles
JTEHD20V146005981
Vehicle Identification Number (VIN): ______________________________

☐ - Boat
Make: __________ Length: __________ Title #: __________
Hull ID #: ____________________ Odometer (hours): __________

☐ - Other. ______________________________________

III. NO WARRANTY. It is understood that this Bill of Sale implies no warranties from the
Seller. The aforementioned property being sold under this Bill of Sale is on an “AS-IS”
basis and any known or unknown defects shall be the sole liability of the Buyer. Buyer
acknowledges this liability with their signature below.

Seller’s Signature _________________ Date __________ Print _________________

Seller’s Signature _________________ Date __________ Print _________________

Buyer’s Signature _________________ Date __________ Print _________________

Buyer’s Signature _________________ Date __________ Print _________________

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