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Illinois Motor Vehicle Bill of Sale
This bill of sale was created on the ___ day of ________________ in the County
of ________________, State of Illinois.
The Parties. __________________________ with a mailing address
of ________________________________________________ (Hereinafter the "Buyer")
and __________________________ with a mailing address of
________________________________________________ (Hereinafter the "Seller")
hereby agree as follows:
Form of Payment/Trade-in/Gift.
- Check One (1)
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- Payment. The Buyer agrees to pay $_______________ (US Dollars) to the Seller.
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- Trade-in. The Buyer agrees to pay $_______________ (US Dollars) and trade-in
their vehicle described as:
Make: _____________ Model: _____________ Body-Type: ____________
Year: _____________ Color: _____________ Odometer: _____________ Miles
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- Gift. The Seller is giving the vehicle as a gift to the Buyer. The value of the vehicle
is $_______________ (US Dollars)
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the above checked box is in exchange for the possession and ownership of the
following described Motor Vehicle:
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Make: _____________ Model: _____________ Body-Type: _____________
Year: _____________ Color: _____________ Odometer: _____________ Miles
Vehicle Identification Number (VIN): __________________________ (17 Characters)
Taxes. All municipal, county, and State taxes in relation to the purchase of the motor
vehicle, including sales taxes, is included not included in the purchase price.
Other Terms & Conditions: ______________________________________________
______________________________________________________________________
Odometer Disclosure Statement
FEDERAL and STATE LAW requires that you state the mileage in connection with the
transfer of ownership. Failure to complete or providing a false statement may result in
fines and/or imprisonment.
I/We, __________________________ certify to the best of my knowledge that the
odometer reading of _____________ Miles.
The actual mileage of the vehicle is accurate, unless one (1) of the following statements
is checked:
- I hereby certify that 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.
Buyer and Seller acknowledge that the Motor Vehicle is being sold without any
representations ("AS-IS") and that after the sale the Seller shall not have any liability
other than the details in this Bill of Sale.
Buyer Signature ___________________ Print Name ___________________
Buyer Signature ___________________ Print Name ___________________
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Seller Signature ___________________ Print Name ___________________
Seller Signature ___________________ Print Name ___________________
Witness #1 Signature ___________________ Print Name ___________________
Witness #2 Signature ___________________ Print Name ___________________
Certificate of Acknowledgement
State of ___________________
County of ___________________
On the ___ day of ________________, 20___ before me, ___________________,
personally appeared, ___________________, ___________________, proved to me
on the basis of satisfactory evidence to be the person(s) whose name(s) is/are
subscribed to the within instrument and acknowledged to me that he/she/they executed
the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s)
on the instrument the person(s) or the entity upon behalf of which the person(s) acted,
executed the instrument.
WITNESS my hand and official seal,
(Notary Signature)
____________________
(Print Name)
____________________ My Commission Expires: ___________________
(seal)
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