Tri-State Tag & Title Services

VEHICLE BILL OF SALE

This document serves as a legal record of the sale and transfer of a motor vehicle.

Prepared with assistance from Tri-State Tag & Title Services · 25 Troy Dr., Charles Town, WV 25414 · (681) 242-4711

Vehicle Information

Year

Make

Model

Body Style

Color

Odometer Reading (miles)

VIN (Vehicle Identification Number)

Odometer Status

Actual MileageNot Actual (Odometer Discrepancy)Exceeds Mechanical Limits

Sale Details

Sale Price ($)

Date of Sale

Payment Method

Sold As-Is (No Warranty)?

Yes — As-IsNo — Warranty Provided

Are There Outstanding Liens on the Vehicle?

No LiensYes — Liens Exist

Seller Information

Full Legal Name

Street Address

City

State

ZIP

Phone Number

Driver's License Number

Buyer Information

Full Legal Name

Street Address

City

State

ZIP

Phone Number

Driver's License Number

Additional Terms / Notes

Certification & Signatures

The undersigned Seller certifies that they are the legal owner of the vehicle described above, that the vehicle is free of all encumbrances except as noted, and that all information provided is accurate to the best of their knowledge. The Buyer acknowledges receipt of the vehicle in the condition described and agrees to the terms of this sale.This vehicle is sold AS-IS with no warranty, expressed or implied. The Seller makes no representations regarding the condition of the vehicle beyond what is stated herein.

Seller Signature

Seller: _______________________________Date: _______________

Buyer Signature

Buyer: _______________________________Date: _______________

Tri-State Tag & Title Services · 25 Troy Dr., Charles Town, WV 25414 · (681) 242-4711 · Mon–Fri 9AM–5PM

This form is provided as a convenience. It does not constitute legal advice. Both parties should retain a signed copy.

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