BILL OF SALE
Amount $______________________ Purchaser's Name_____________________________________________________ Address:_____________________________________________________________
DESCRIPTION OF VEHICLE: Make:_____________________Model:____________________Year:____________ Vehicle Identification Number:____________________________________________ Seller's Name:________________________________________________________ Address:_____________________________________________________________
This vehicle is free from all encumbrances except_____________________________.
This undersigned has hereunto set his/her hand this _____________________day of (Day) ________________, ____________________________. (Month) (Year) _________________________________________ Signature of Seller Witness:________________________________ Witness:________________________________ (Witnesses cannot be relatives) (OR) Notary Public:__________________________________ My Commission Expires:_________________________ If tag not purchased or transferred within 10 calendar days of purchase date, a penalty will be charged.
TG004 01/2000