Automobile Bill of Sale

1 Automobile bill of Sale I the seller hereby certify that I am the lawful owner of this vehicle: Year _____ Ma k e _____ Model _____ _ __ _ _B o dy S ty l e __ _ _____ VIN#_____ Engine number_____ I certify that I have the authority to sell this vehicle. I acknowledge the receipt of $_____ . ___ by Check___, Cash___, Money Order___. From buyer for full payment for the purchase of the said vehicle. Vehicle is sold "AS IS". Federal law and s tate law requires seller of the vehicle to state the odometer mileage upon trans fer of ownership. Failure to complete or a false state ment may result in fine or imprisonment Odometer statement_____ Check one: _____Actual mileage _____Mileage in excess of actual mechanical limits. _____Not the actual mileage. WARNING odometer discrepancy. I as seller grant, sell and transfer full ownership of this vehicle to the buyer. I as seller certify that this vehicle, at the time of sale, is free from all encumbrances, taxes, fees and liens.

2 I as seller will defend and be held fully responsible for such lawful claims and demands with respect to the vehicle, if any. Buyer accepts full liability for the vehicle, damages, and any third party liability incurred from the vehicle use from the date of will be made available to the buyer at time of sale. Print Seller's Name_____ Seller's Signature_____ Sellers Address _____ _____ City_____ State___ __ __ Zip_____ _ Date____ / ___ / _____ Print Buyers Name_____ Buyer's Signature_____ Buyer's Address _____ City_____ State_____ Zip_____ Date____ / ___ / _____ Sworn to and subscribed before me this the _____day of _____, 20_____ NOTARY PUBLIC_____ Blank form courtesy of roger chartier 2010