BILL OF SALE FOR A MOTOR VEHICLE

This bill of sale was created on the ___ day of _________, 20__ in the County
of _______ , State of _________

The Parties

______________________________ with a post office address of

_______________________________________ (Hereinafter known as the "Buyer")

AND

______________________________ with a with a post office address

of_______________________________________ (Hereinafter known as the "Seller”)

hereby agree as follows (Check Which Applies)

☐ The Buyer agrees to pay $ ______ (US Dollars) to the Seller

☐ The Buyer will pay $0 (Zero US Dollars) to the Seller (Gift Vehicle)

for the vehicle described as:

Make: ____________Model: ____________

Year: ____________ Color: ____________
Odometer: __________ (Miles)
VIN: ______________________________

_______________________ _______________________
Seller's Signature Buyer's Signature

_______________________ _______________________
Seller's Printed Name Buyer's Printed Name

_______________________ _______________________
Date Date
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