MISSISSIPPI MOTOR VEHICLE BILL OF SALE

Date of Sale: _________________ (mm/dd/yyyy)

1.	BUYER

Name: ___________________________ (hereinafter the “Buyer”)
Address: __________________________________________________________________________
Phone #: _______________________________ Email: ____________________________________

2.	SELLER

Name: ___________________________ (hereinafter the “Seller”)
Address: __________________________________________________________________________
Phone #: _______________________________ Email: ____________________________________

3.	VEHICLE INFO

Make: __________________________ Model: __________________________ Year: ____________
Style/Body Type: __________ Color: ________________ Odometer (miles): ___________________
VIN: ______________________________________________________

4.	PAYMENT (Check One)

☐ PAYMENT. The Buyer agrees to pay the Seller the following in exchange for the Vehicle:

Purchase price: $_____________________ (Taxes included? ☐ Yes | ☐ No)
Paid for via the following payment method: (check one)
☐ Cash | ☐ Check | ☐ Credit / Debit Card | ☐ Other: ___________________________.

☐ - GIFT. The Seller gifted the Vehicle to the Buyer. The Vehicle holds a value of $____________.

☐ - TRADE. The Seller traded the Vehicle with the Buyer. The Buyer agrees to pay
$____________ to the Seller and the trade-in Vehicle is valued at: $____________. 

The following information describes the details of the traded-in Vehicle:

Make: _________________________________ Model: _________________________________
Year: _________________ Style/Body Type: __________________ Color: _________________
Odometer (miles): ___________________ VIN: _______________________________________

5.	ADDITIONAL TERMS (OPTIONAL)

___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________.

6.	SIGNATURES

Buyer Signature: _____________________________________ Date: ____________________

Buyer Printed Name: _______________________________

Seller Signature: _____________________________________ Date: ____________________

Seller Printed Name: _______________________________

CERTIFICATE OF ACKNOWLEDGEMENT
(The section below is to be completed by a Notary Public ONLY.)

STATE OF _____________________
COUNTY OF ___________________

	On the ______ day of ____________________, 20____, before me _______________________________ (Name of Notary), personally appeared _______________________________ (Seller) and _______________________________ (Buyer), who proved to me through government issued photo identification to be the above-named person(s), in my presence executed the foregoing instrument and acknowledged that he/she/they executed the same as his/her/their free act and deed.

				___________________________________________
				Notary Public Signature

				My commission expires: ______________________