Receipt of vehicle sale

This receipt does not need to be provided to VicRoads as part of registration transfer. It can be used by the seller and buyer of a vehicle to
ensure necessary sale information is recorded by both parties as proof of sale.

I, (full name of seller) (Victorian licence/customer number)

of (address)

Postcode
(phone number – mobile preferred) (email address)

transferred the vehicle with the following details:

(registration number) (make) (model) (manufacture year) (body type)

(VIN)

The vehicle was transferred:

to (full name of buyer) (Victorian licence/customer number)

(address)

Postcode
(phone number – mobile preferred) (email address)

and the details of the transaction were:

(date of sale – dd/mm/yyyy) (time of sale) (sale price)
/ / :
$

Signed: VRPIN02987 07.19 Authorised and published by VicRoads, 60 Denmark Street, Kew, Victoria, 3101.

Seller Buyer
Seller signature Buyer signature

Date (dd/mm/yyyy) Date (dd/mm/yyyy)

/ / / /

 A COPY OR PHOTO OF THIS COMPLETED FORM SHOULD BE RETAINED BY BOTH THE SELLER AND BUYER AS PROOF OF SALE.