VEHICLE BILL OF SALE
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 Title will be printed.
• If no liens exist write the word “NONE”.
• Any alterations or erasures will require additional verification.
Please print or type
Know all men by these presents Date: ______________________ Time: _______________
That in consideration of _________________________________________ Dollars ($ ___________) and all other
value consideration, the receipt whereof is hereby acknowledged, the undersigned (seller) does hereby sell, transfer,
and deliver unto:
Full Legal Name of Buyer(s) ____________________________________________________
First Middle Last
_______________________________________________________________________
□ and
□ or
First Middle Last
Buyer’s Signature
_______________________________________________________________________________________________
Address
_______________________________________________________________________________________________
Street City State Zip Code
his/her right, title and interest in and to the following described vehicle:
Year ______________ Make ______________________________________ Model _________________________
Vehicle Identification Number
Buyer certifies Lien in favor of
_______________________________________________________________________________________________
Name of business or individual holding lien
Lienholder Address
_______________________________________________________________________________________________
Street City State Zip Code
Seller’s Full Legal Name
_______________________________________________________________________________
First Middle Last
Seller’s Signature ________________________________________________________ Date: ___________________
Seller’s Address
_______________________________________________________________________________________________
Street City State Zip Code
MV/039 REV 7/06
The seller(s) certifies under penalty of perjury in the second degree, that he/she is the lawful owner of said vehicle; that
he/she has the right to sell the aforesaid; and that he/she will warrant and defend the title of same against the claims
and demands of all persons whomever except lienholder noted above.
