Print Name: _ NOTARY ACKNOWLEDGMENTĪ notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. ☐ – I hereby certify that the odometer reading is not the actual mileage. ☐ – I hereby certify that the odometer reading reflects the amount of mileage in excess of its mechanical limits.

The actual mileage of the vehicle is accurate, unless one (1) of the following statements is checked (): I/We, , the Seller, certify to the best of my/our knowledge that the odometer reading of Miles. Failure to complete or providing a false statement may result in fines and/or imprisonment. Print Name: _ ODOMETER DISCLOSURE STATEMENTįEDERAL and STATE LAW requires that you state the mileage in connection with the transfer of ownership. The undersigned Buyer accepts receipt of this document and understands that the above vehicle is sold on an “as is, where is” condition with no guarantees or warranties, either expressed or implied.īuyer Signature: _ Date: _ The undersigned Seller affirms that the above information about the Vehicle is accurate to the best of their knowledge. ☐ – Seller and included as part of the exchange. ☐ – Buyer and not included in the exchange. All municipal, county, and state taxes in relation to the sale of the Vehicle, including sales taxes, are paid by the: (check one) The Seller is giving the vehicle as a gift to the Buyer. Make: Model: Body Type: Year: Color: Odometer: Miles The Buyer agrees to pay $ and trade the following: The Seller agrees to transfer ownership and possession of the Vehicle for: (check one) Seller: with a mailing address of (“Seller”), and agrees to sell the Vehicle to the Buyer under the following terms: This transaction is made in the County of, State of, on, by and between:īuyer: with a mailing address of (“Buyer”), and agrees to purchase the Vehicle from: Vehicles more than 10 years old and over 16,000 pounds are exempt. Code § 32705) requires a bill of sale to include a verifying statement about the mileage of the vehicle. Warranty details (usually sold on an “as-is, where-is” basis)įederal law ( 49 U.S.The document can be used as proof of purchase, much like a receipt. By StateĪ motor vehicle bill of sale records the transaction between a buyer and seller for the purchase of a motor vehicle. DMV Offices By State – Use to find out where to register a vehicle.

Free car bill of sale template word