Bill of Sale

Date: ________________________
I, the undersigned seller, [name]_____________________________ for the sum of
$_____________ (________________________________ dollars) sell to the undersigned
buyer, [name]________________________________________ the following vehicle.

Make________________________________ Model_________________ Year_________

Vin number____________________________________ Mileage____________________

The undersigned seller affirms that the above information about this vehicle is accurate to the
best his/her knowledge.

The undersigned buyer accepts receipt of this Bill of Sale and understands that the above vehicle
is sold in “as is” condition with no guarantees or warranties, either expressed or implied, for the
vehicle.

Seller’s name (print)________________________________________

Seller’s signature__________________________________________
Street address________________________________Apt___________
City_____________________State____________Zip____________
Phone #__________________

Buyer’s name (print)________________________________________

Buyer’s signature__________________________________________
Street address_____________________________Apt______________
City_____________________State____________Zip____________
Phone #__________________