MOTOR VEHICLE BILL OF SALE

Application - Page 1 of 1

County: *

State: *

Month and Day: *

Year of Sale: *

Buyer Name:

Buyer Address:

Seller Name:

Seller Address:

Vehicle Make:

Vehicle Model:

Body Type:

Vehicle Year:

Vehicle Color:

Odometer:

VIN:

Exchange Details: *

Cash Payment

Trade

Gift

Other

Taxes:

The buyer will pay the taxes and the amount is not included in the exchange.

The seller is paying the taxes and the amount is included in the exchange.

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