%
Date:"_____________________ __ __ _"
"
This"form"represents"a"legal"document"{Hereinafter"referred"to"as"the"“Bill"of"Sale”}"
for"the"transfer"of"a"vehicle"between:"
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Buyer’s"Name(s):____________________________________________________________________________""
Buyer’s"Mailing"Address:_________________________________________"State:"___________________""
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Seller’s"Name(s):____________________________________________________________________________"
Seller’s"Mailing"Address:_________________________________________"State:"___________________""
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Hereinafter"referred"to"as"{“the"Parties”}"
I.%Vehicle%Description."The"vehicle"that"is"to"be"transferred"in"this"Bill"of"Sale"is"
described"as:"
Body"Type"__________________________________"
Make"__________________________________"
Model"__________________________________"
Year"Made"__________________________________"
Vehicle"Identification"Number"(VIN)"__________________________________"
Other"_____________________________________________________________________"
II.%Purchase%Price.""The"total"amount"for"the"purchase"of"the"vehicle"in"this"Bill"of"
Sale"is"________________________________"Dollars"($_____________._____)"
"
"
Wyoming Motor Vehicle Bill of Sale
Pursuant to 31-2-104
Shall"be"paid"as:"
{Check%One}"
"@"Single"Payment"made"in""Cash"|""Check"|""Credit"Card"|""Other"____________"
"@"_______________________"Dollars"($_____________._____)"as"a"down"payment"and"the"
balance"due"on"the"___________"day"of"_________________________,"20______."
"@"_______________________"Dollars"($_____________._____)"as"a"down"payment"and"the"
balance"due"as"stated"in"the"promissory"note"attached"to"this"Bill"of"Sale."
III.%Liens%and%Encumbrances.%%
{Check%One}"
The"vehicle"is"free"of"all"liens"and"encumbrances"
"The"vehicle"has"the"following"liens"or"encumbrances:""
________________________________________________________________________________."Furthermore,"
the"Seller"agrees"to"remove"any"and"all"liens"and"encumbrances"within"___________"
days"from"the"date"of"this"Bill"of"Sale."
IV.%Vehicle%Condition.%%
There"are"no"known"defects"except:"
_________________________________________________________________________________________________"
{Check%One}"
"@"The"date"of"the"last"vehicle"inspection"was"on"the"_________"day"of"
___________________________,"20______"and"is""attached""not"attached"to"the"Bill"of"Sale.""
"@"The"Seller"is"not"aware"of"the"last"inspection"of"the"vehicle."
V.%Odometer."As"of"the"date"of"this"Bill"of"Sale,"the"odometer"reads:""
___________________________________________""Kilometers | "Miles"
VI.%Additional%Details."The"Parties"agree"to"any"other"terms"or"conditions"not"
stated"in"this"Bill"of"Sale"are"as"follow s;" ___________________________________________________"
_________________________________________________________________________________________________"
VII%Signatures.%
%
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Buyer%#1:"_________________________________________________________"Date:"___________________""
(If#any)%Buyer%#2:"________________________________________________"Date:"___________________"
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Seller%#1:"__________________________________________________________"Date:"__________________"
(If#any)%Seller%#2:"_________________________________________________"Date:"__________________"
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Witness(es)%
%
Witness%#1:"________________________________________________________"Date:"_________________"
Witness%#2:"________________________________________________________"Date:"_________________"
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Notary%Public"
On"this"_________________"day"of"___________________________,"20______"before"me,"
__________________________________________"a"notary"public,"personally"ap p eared"
__________________________________________,"who"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"signatures"on"the"
instrument"the"person(s),"or"the"entity"upon"behalf"of"which"the"person(s)"acted,"
executed"the"instrument."I"certify"under"Penalty"of"Perjury"under"the"laws"of"the"
State"of"__________________"that"the"foregoing"is"true"and"correct."
"
Witness"my"hand"and"Official"Seal"
"
_______________________________________________________________________"
(Seal)"
Federal and State law require that you state the mileage upon transfer of ownership.
Failure to complete or providing a false statement may result in fines and/or
imprisonment.
I ________________________________________(print name of Seller of New Buyer)
state that the odometer of the vehicle described below now reads below now reads:
ODOMETER READING: (NO TENTHS)
miles and to the best of my knowledge that it reflects the actual mileage of the vehicle
described below, unless one of the following statements is checked.
Check one box only:
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.
WARNING ODOMETER DISCREPANCY.
YEAR:____________________
MAKE:___________________
MODEL:__________________
BODY TYPE:______________
VIN:_____________________
________________________________ ______________________
SIGNATURE OF SELLER DATE
OR NEW BUYER
Wyoming Odometer Disclosure Statement
click to sign
signature
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