UNIVERSAL BILL OF SALE

Application - Page 1 of 2

Sale Date: *

Seller Name:

Seller Address:

Buyer Name:

Buyer Address:

Description of Item:

Category / Type of Item:

Quantity (if applicable):

Identifying Information:

Condition of Item:

Purchase Price: *

Purchased With: *

Cash

Certified Check

Wire Transfer

Other

Representations and Warranties: *

The Seller provides no warranty.

The Seller provides the following limited warranty (if any):

Warranty Description:

Inspection and Acceptance: *

Item was inspected prior to sale

Item was not inspected, and Buyer accept is "as-is"

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