Bill of Sale for a Motor Vehicle - Manatee County, Florida

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BILL OF SALE
FOR A MOTOR VEHICLE
Vehicle Identification Number
Year
Make
Body
Title Number
I state that I have physically verified the vehicle identification number shown on the motor vehicle and it is identical to the
number shown on this bill of sale.
I do hereby sell and convey this motor vehicle to:
Printed Name(s) of Purchaser(s)
Street Address
City
State
ZIP Code
Date of Sale
Purchase Price
Odometer Disclosure Statement
Warning: Federal and State law requires that you state the mileage in connection with an application for a
Certificate of Title. Failure to complete or providing a false statement may result in fines and/or imprisonment.
I state that this motor vehicle’s
5 digit OR
6 digit odometer now reads
,
.xx (no
tenths) miles, date read _____ / _____ / _____. And I hereby certify that to the best of my knowledge the
odometer reading:
1. Reflects actual mileage.
CAUTION:
Read carefully before
2. Is in excess of its mechanical limits (applies to 5 digit odometers).
checking a box
3. Is not the actual mileage; WARNING – ODOMETER DISCREPANCY.
Affidavit
Under penalties of perjury, I declare that I have read the foregoing document and that the facts stated in it
are true. I understand that a person who knowingly makes a false declaration is guilty of the crime of perjury by
false written declaration, a felony of the third degree, punishable as provided in 775.082, 775.083 or 775.084, F.S.
Seller’s Signature
Seller’s Printed Name
Date
Co-Seller’s Signature
Co-Seller’s Printed Name
Date
Seller’s Street Address
City
State
ZIP Code
Purchaser’s Signature
Purchaser’s Printed Name
Date
Co-Purchaser’s Signature
Co-Purchaser’s Printed Name
Date
Any alteration or erasure makes this document null and void.
Bill_of_Sale_Motor_Vehicle - Last Update: 03/23/2018
BILL OF SALE
FOR A MOTOR VEHICLE
Vehicle Identification Number
Year
Make
Body
Title Number
I state that I have physically verified the vehicle identification number shown on the motor vehicle and it is identical to the
number shown on this bill of sale.
I do hereby sell and convey this motor vehicle to:
Printed Name(s) of Purchaser(s)
Street Address
City
State
ZIP Code
Date of Sale
Purchase Price
Odometer Disclosure Statement
Warning: Federal and State law requires that you state the mileage in connection with an application for a
Certificate of Title. Failure to complete or providing a false statement may result in fines and/or imprisonment.
I state that this motor vehicle’s
5 digit OR
6 digit odometer now reads
,
.xx (no
tenths) miles, date read _____ / _____ / _____. And I hereby certify that to the best of my knowledge the
odometer reading:
1. Reflects actual mileage.
CAUTION:
Read carefully before
2. Is in excess of its mechanical limits (applies to 5 digit odometers).
checking a box
3. Is not the actual mileage; WARNING – ODOMETER DISCREPANCY.
Affidavit
Under penalties of perjury, I declare that I have read the foregoing document and that the facts stated in it
are true. I understand that a person who knowingly makes a false declaration is guilty of the crime of perjury by
false written declaration, a felony of the third degree, punishable as provided in 775.082, 775.083 or 775.084, F.S.
Seller’s Signature
Seller’s Printed Name
Date
Co-Seller’s Signature
Co-Seller’s Printed Name
Date
Seller’s Street Address
City
State
ZIP Code
Purchaser’s Signature
Purchaser’s Printed Name
Date
Co-Purchaser’s Signature
Co-Purchaser’s Printed Name
Date
Any alteration or erasure makes this document null and void.
Bill_of_Sale_Motor_Vehicle - Last Update: 03/23/2018

Download Bill of Sale for a Motor Vehicle - Manatee County, Florida

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