Transcript
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 (seller) does hereby sell, transfer and deliver unto ______________________________________________________________________ (buyer), his right, title and interest in and to the following described vehicle: License Plate No. __________________ Vehicle Identification No. ___________________________________________ Make and Model Year ________________________________ Body Type _________________________ The said seller hereby warrants that he is the lawful owner of said vehicle; that it is free from all liens and encumbrances except *lien in favor of _________________________________________________ NAME
_______________________________________________________________________________ ADDRESS
CITY
STATE
ZIP CODE
*If no lienholder shown, transfer will be processed without recording lien.
Federal and state laws require that you state the mileage in connection with the transfer of ownership. Failure to complete or providing a false statement may result in fines and/or imprisonment. I certify that the odometer now reads ___________________________ (no tenths) and to the best of my knowledge that it reflects the actual mileage unless one of the following statements is checked:
o o
(1) The odometer reading reflects that amount of mileage in excess of its mechanical limits. (2) The odometer reading is NOT the actual mileage. WARNING: ODOMETER DISCREPANCY. Signed this ______ day of _________________ , 20 ____ ______________________________________________
Signature of Seller
______________________________________________
Printed Name of Seller
______________________________________________
Signature of Seller
______________________________________________
Printed Name of Seller
______________________________________________
Address
______________________________________________
City
Subscribed and sworn before me this _________ day of _______________________________ ,20 _____ . __________________________________________ Notary Public
State of Hawaii, _________________ Judicial Circuit My commission expires: _________________
(Stamp or Seal)
CS-L(MVR)40 (Rev. 9/10)
State
Zip Code
NOTARY CERTIFICATION:
(Hawaii Administrative Rules §5-11-8)
Document Date: _________________ No. Pages: ______ Document Description: ____________________________ Notary Printed Name Notary Signature
Circuit Date
(Stamp or Seal)
