UPDATED: 12/11/2019
BILL OF SALE
VEHICLE DESCRIPTION
VEHICLE IDENTIFICATION NUMBER (VIN)
YEAR
MAKE
MODEL
I/We ______________________________________________ sell, transfer and deliver the above vehicle
(PRINT SELLER’S NAME)
to _______________________________________________ on _____ /_____ /_____ for $_____________
(PRINT BUYER’S NAME)
MO DAY YEAR
(SELLING PRICE)
If this was a gift, indicate relationship: _____________________________ (e.g. parent, spouse, friend, etc.)
SELLER INFORMATION
SIGNATURE
X
DATE
SIGNATURE
X
DATE
MAILING ADDRESS STATE ZIP CODE
CITY
DAYTIME PHONE #
BUYER INFORMATION
SIGNATURE
X
DATE
SIGNATURE
X
DATE
MAILING ADDRESS STATE ZIP CODE
CITY
DAYTIME PHONE #
This form should be completed in ink. Errors or alterations on the title or other documents presented
for title transfer may require this form to be notarized.
For notary use if applicable
Per Iowa Code 321.13, the department shall examine and determine the genuineness, regularity, and legality of every application made to the
department, and may investigate or require additional information. The department may reject any application if not satisfied of the genuineness,
regularity, or legality of the application or the truth of any statement made within the application, or for any other reason, when authorized by law.
The department may retain possession of any record or document until the investigation of the application is completed if it appears that the record
or document is fictitious or unlawfully or erroneously issued and shall not return the record or document if it is determined to be fictitious or unlawfully
or erroneously issued.
Subscribed and sworn to before me this ______ day of _____________________, 20_______
personally appeared ___________________________________________________ as seller of said vehicle.
(print seller’s name)
__________________________________________________
Notary Signature
Seal Notary Public in and for the State of ______________