Fillable Printable Car Order and Bill of Sale Form - District of Columbia
Fillable Printable Car Order and Bill of Sale Form - District of Columbia
Car Order and Bill of Sale Form - District of Columbia
Corporation/LLC or Sole Proprietor and Trade Name (if any)
Street Number and Name (No PO Box) (ex. 1100 4
th
Street, SW)
City, State, Zip Code (ex. Washington, DC 2002 4)
Office Phone Number with Area Code (ex. (202)442-4400)
(OPTIONAL: In addition you ma y include your fax and/or pager numbers)
CAR ORDER AND BILL OF SALE
SELLER__________ _______________ _______ ___STOKE NO._____________ ___________DAT E_______________
FOR DELIVERY ON: _______________PURCHASER’S NAME & ADDRESS__________________________________
________________________________________________________________________________________________
DESCRIPTION OF VEHICLE SOLD
YEAR_______MAKE_____________MODEL__________BODY_____________COLOR_______
VIN# ___ ___ ___ ___ ___ _ __ ___ ___ __ _ ___ ___ ___ ___ ___ ___ _ ___ ____
If known, the Seller must describe an y material mech anical defect in the car, and if the Seller knows that the car has
sustained an y damage b ecau s e of fire, water, collisio n or other causes for which the cost of repairs e xc eeded one
thousand dollars ($1,000) the Sell er must also describe them.
………………………………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………………………………
The information you see the window forms for this vehicle are part of the contract.
Information on the window forms overrides any contrary provisions in the contract of sale.
CASH SALE PRICE OF VEHICLE AND EQUPMENT
GOVERNMENTAL CHARGES
Excise Tax $_____________ __________ ________
Registration Fee $_____________________ __________
Inspection Fee $________ __________ _________ ____
Certificate of Title $______ _________ ________________
Transfer Fee $_____________ __________ ________
Recorder of Deeds $__________________ _________ ____
Temp. Tags $________ __________ _________ ____
Uninsured Driver $____________ __________ _________
Notary & Service
(not to exceed $2.50) $_______________ __________ ______
THIS COLUMN IF
NOT FINANCED
THIS COLUMN IF
TO BE FINANCED
TOTAL $ $
CASH DOWN PAYMENT (Including any Cash Deposit)
AMOUNT CREDITED FOR ANY TRADE-IN $______________________ ____
Less: Balance Due $____________________ ______
Net Equity________ _______ ________ _______ _______ _______ _______ ____
DESCRIPTION OF TRADE-IN
Year_________ Make_________ _ Body______ ____ Mode l_______ __
Vin#________________ ______________ _____ Stock No. ___ _____________
$
$
TOTAL DOWN PAYMENT
$
TOTAL CASH PRICE BALANCE
$
COST OF INSURANCE AND SUMMARY OF INSURANCE COVERAGE
1. The insuran c e (if any) purchased b y the seller onl y covers the car and does
not include liabilit y insurance covera ge for personal injury and property damage
caused to others, unless otherwise stated.
2. If the insurance purchas ed protects only the seller's interests in the car place
a check mark here.
Fire & Theft ACV__ _______ ________ _______ ______________ _______ _____
Collision $ Deductible $
Other Ins. (itemize) $
$
Total Cost of Insurance___________________________ __________________
Term of Insurance ...............................months.__________________________
Name of Agent-Broker:_____________ ______________ __________________
Name of Insurance Company:
_______________________________________
Name of Finance Compan y:_____________ _______________ _____________
PRINCIPAL BALANCE_____ _______________ ______________ ___________
$
FINANCE CHARGE
$
TIME PRICE BALANCE
$
TERMS OF PAYMENT OF TIME PRICE BALANCE…………………….PAYMENT OF $..........................EACH, PAYABLE ON
THE…………..DAY OF EACH MONTH, BEGINNING………………………AND A FINAL PAYMENT OF $......................................
NOTE: IMPORTANT TERMS OF THIS CONTR ACT ON THE BACK PAGE.
NOTICE TO PURCHASER: IT IS AGAINST THE L AW FO R THE SELLER TO PERMIT OR REQUEST YOU TO SIGN THIS
DOCUMENT BEFORE ALL THE PLANS ABOVE HAVE BEEN FILLED IN BY THE SELLER AND THE SELLLER HAS
SIGNED THIS PAPER CERTIFYING THAT THE ABOVE INFORMATION IS CORRECT.
The fron t and back o f this order comprise the entire agreement affectin g this purchase. No other agreement,
understanding, representation or warranty of any nature concerning same has been made or entered into, or will be
recognized or binding. I have read the matter printed on the back hereof and agree to is as part of this Order.
BUYER’S SIGNATURE…………………………………………………………………………………………………………………………
SALESPERSON’S NAME AND LICENSE#........................................................................................................................................
SELLER’S ACCEPTANCE AND CERTIFICATION OF INFORMATION…………………………………………………………………...
THE SALE OF THIS MOTOR VEHICLE IS GOVERNED BY THE AUTOMOBILE CONSUMER PROTECT ION ACT OF THE
DISTRICT OF COLUMBIA. WHICH ENTITLES THE CONSUMER TO ARBITRATION OF COMPLAINTS ABOUT THE
VEHICLE FOR COMPLAINTS OR INFORMATION CALL (202) 442-4400.
