MISSISSIPPI BILL OF SALE

VEHICLE INFORMATION
Make: _______________________ Model: ________________________ Year: _______________
Style: _____________________ Color: _________________ VIN# _________________________
Odometer reading ___________________________ Seller registration # __________________________
Have you previously filed an application for title of this vehicle? Yes No

I ________________________________________ of _______________________________________
(SELLER’S FULL NAME) (ADDRESS)

____________________________ ____________ as owner of this vehicle, transfer ownership to

(CITY) (STATE)
____________________________________________ of _______________________________________
(BUYER’S FULL NAME) (ADDRESS)

____________________________ ____________ for the sum of $ __________________________

(CITY) (STATE) (E.G. $10,500)

This was a gift. Indicate relationship (e.g. parent, spouse, friend): _________________________________

I declare under penalty of perjury that the statements herein contained are true and correct to the best of my knowledge and belief.

(SELLER’S SIGNATURE) (MM/DD/YYYY)

(BUYERS’S SIGNATURE) (MM/DD/YYYY)

(KEEP THIS COPY FOR YOUR RECORDS)

VEHICLE INFORMATION
Make: _______________________ Model: ________________________ Year: _______________
Style: _____________________ Color: _________________ VIN# _________________________
Odometer reading ___________________________ Seller registration # __________________________
Have you previously filed an application for title of this vehicle? Yes No

I ________________________________________ of _______________________________________
(SELLER’S FULL NAME) (ADDRESS)

____________________________ ____________ as owner of this vehicle, transfer ownership to

(CITY) (STATE)
____________________________________________ of _______________________________________
(BUYER’S FULL NAME) (ADDRESS)

____________________________ ____________ for the sum of $ __________________________

(CITY) (STATE) (E.G. $10,500)

This was a gift. Indicate relationship (e.g. parent, spouse, friend): _________________________________

I declare under penalty of perjury that the statements herein contained are true and correct to the best of my knowledge and belief.

(SELLER’S SIGNATURE) (MM/DD/YYYY)

(BUYERS’S SIGNATURE) (MM/DD/YYYY)

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