Fillable Form 1111: um, - .. BILL OF SALE (State of Nevada, Department of Information Technology)

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Form 1111: um, - .. BILL OF SALE (State of Nevada, Department of Information Technology)

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The Form 1111: um, - .. BILL OF SALE (State of Nevada, Department of Information Technology) form is 1 page long and contains:

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  • 3 check-boxes
  • 24 other fields

Country of origin: US
File type: PDF

U.S.A. forms for State of Nevada, Department of Information Technology

BROWSE STATE OF NEVADA, DEPARTMENT OF INFORMATION TECHNOLOGY (NV) FORMS

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555 Wright Way
Carson City, NV 89711
Reno/Sparks/Carson City (775) 684-4DMV (4368)
Las Vegas area (702) 486-4DMV (4368)
dmv.nv.gov
BILL OF SALE
NRS 482.426
A Bill of Sale releases interest in a vehicle. A Certificate of Title or other ownership documents must accompany this form.
INSTRUCTIONS
• All areas must be completed in full.
• Complete the buyer area exactly as the new Certificate of Title will be printed.
• Any alterations or erasures will require additional documentation and/or verification.
Please print or type
Know all men by these presents
That in consideration of ______________________________________________Dollars ($__________)
and other value consideration, the receipt whereof is hereby acknowledged, the undersigned (seller) does hereby sell,
transfer and deliver unto:
New Owner information
(if more than two owners, complete and attach an additional Bill of Sale (VP104) form; indicate
“AND” or “OR” between second and third owners)
Full Legal Name of
and
1
st
Buyer
or
First Middle Last
Nevada Driver’s License, Identification Card Number, Date of Birth, or FEIN for businesses
Physical Address
Address City State Zip Code
Mailing Address
Address City State Zip Code
Full Legal Name of
2
nd
Buyer
First Middle Last
Nevada Driver’s License, Identification Card Number, Date of Birth, or FEIN for businesses
Physical Address
Address City State Zip Code
Mailing Address
Address City State Zip Code
Buyer’s Signature
Date
Note: only one signature is required even if “AND” appears between the new owner’s names
Telephone
E-mail
his right, title and interest in and to the following described vehicle:
Vehicle Identification Number
Year
Make
Model
This vehicle has been Rebuilt as the term is defined in NRS 482.098
Buyer certifies Lien in favor of
If no liens exist, write the word “NONE” on the “Lien in favor of" line
NV Driver’s License, Identification Card Number, Date of Birth, NV ELT # or FEIN for businesses
Address
Address City State Zip Code
Seller certifies that he is the lawful owner of said vehicle; that he has the right to sell the aforesaid; and that he will warrant
and defend the title of same against the claims and demands of all persons whomever except lienholder noted above.
Seller’s Full Legal Name
First Middle Last
Nevada Driver’s License, Identification Card Number, Date of Birth, or FEIN for businesses
Mailing Address
Address City State Zip Code
Signature of Seller
Date
VP104 (Rev 02/2022)
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Form 1111: um, - .. BILL OF SALE (State of Nevada, Department of Information Technology)

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Completed 27 March 2022

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