MOTOR VEHICLE BILL OF SALE

1.	BUYER & SELLER

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

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

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

2.	VEHICLE INFO

Make: __________________________________ Model: ___________________________________
Year: ________________ Color: ________________ Odometer (Mileage): ____________________
VIN (17 digits): ______________________________________________ (hereinafter the “Vehicle”)

3.	PAYMENT

The Buyer agrees to pay the Seller the following in exchange for the Vehicle:
Sale price: $_____________________ (Taxes included? Check one: ☐ - Yes | ☐ - No)

Paid for via the following payment method (check one):
☐ - Cash | ☐ - Check | ☐ - Credit / Debit Card | ☐ - Other: ______________________________

Additional Terms (Optional): _________________________________________________________

4.	ODOMETER DISCLOSURE

Federal law requires that you state the mileage upon transfer of ownership. Failure to complete this or providing a false statement may result in fines and/or imprisonment. I (the Seller) state that the odometer reading shown is true and correct to the best of my knowledge, and that it reflects the actual mileage of the vehicle described above, unless one of the following statements is checked:

☐ - I hereby certify that to the best of my knowledge the odometer reading reflects the amount of mileage in excess of its mechanical limits.

☐ - I hereby certify that the odometer reading is not the actual mileage.
5.	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: ______________________