| Seller's Name and address:  (Name)________________________________________________  (address:)______________________________________________ Seller hereby sells and transfers the following described motor vehicle to: ______________________________________________________(Buyer)
 
 Year ________
 Make 
          ______________________
 Model 
          _______________________
 VIN#__________________________________________
 
 I hereby certify 
        that I am the lawful owner of this vehicle:and 
        have the legal authority to sell it. I  acknowledge the receipt of 
        $___________ in cash from the buyer as full payment for the purchase of the 
        said vehicle, which is sold "AS IS". I hereby state that the mileage of 
        the vehicle at the time of sale is ______________.
 
 I 
        certify that this vehicle, at the time of sale, is free from all 
        encumbrances, taxes, fees and liens  and that, I (Seller) will defend and be held fully 
        responsible for such lawful claims and demands with respect to the 
        vehicle, if any.
 
        Buyer accepts full liability for the vehicle, 
        damages, and any third party liability incurred from the vehicle use from 
        the date of sale.
 If applicable, Seller agrees to make arrangements 
        for the reasonable delivery of vehicle title   to buyer 
        as soon as is possible.
 
 
 
 
        
        
          | ____________________________ Seller's 
                Signature
 |  | ____________________________ Buyer's 
          Signature
 |  
          | ________________ Date
 |  | _________________ Date
 |  |