BICYCLE/MOPED BILL OF SALE KNOW ALL MEN BY THESE PRESENTS: That in consideration of Dollars and other valuable consideration the receipt whereof is hereby acknowledged, the undersigned does hereby sell, transfer and deliver unto (name buyer who is an adult 18 years of age and older) his right, title and interest in and to the following described bicycle/moped: MAKE
YEAR MODEL
SERIAL NO.
NO. OF SPEEDS
COLOR
BODY TYPE
The said seller hereby warrants that he is the lawful owner of said vehicle; Signed this
day of
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Seller’s Signature Seller’s Address Street No. / P.O. Box
City
State
Zip Code
BUYER’S CERTIFICATION I (we) hereby certify that I am (we are) the purchaser(s) of the bicycle/moped described above and that I (we) have examined the bicycle/moped and found the serial number and description to be correct as written in the bill of sale; and that I am (we are) of legal age (18 years of age and older).
Buyer’s Signature Buyer’s Signature Printed Name of Buyer (LAST)
(FIRST)
(M.I.)
(LAST)
(FIRST)
(M.I.)
Printed Name of Buyer
Buyer’s Address
Street No. / P.O. Box
Dated CS-L(SS) 47 (Rev. 9/2013, Online Form)
City
,2
State
Zip Code