Fillable Printable Delivery Receipt - United States Postal Service

Delivery Receipt - United States Postal Service

Delivery Receipt

I the undersigned………………………………………………………………………………………………………………

S/o Shri……………………………………………………………………………………………………………………………...

R/o………………………………………………………………………………………………………………………………………

…………………………………………………………………………………………………………………………………………….

Have taken the delivery of Car/Scooter/Motor Cycle Regd. No………………………………………

Bearing Chassis No……………………………… Engine No…………………………… Make……………………

Colour…………………… From Shri ……………………………… Regd. Owner ……………………………………

C/o …………………………………………………………………………………………………………………………………..

For my personal use complete in all respects with registration documents. I shall be fully

legally responsible for its maintenance, accident, Road-Tax, Police Challan after taking the

deliver and also for its miss use of any kind. I have checked up the vehicle thoroughly and I

am fully satisfied. As per motor transport rules, I hereby promise that, I shall get the

vehicle transferred in my name within 15 days of purchase. The vehicle is bought on as is

where is basis. I further confirm that I have paid full & final payment to the owner against

the purchase of above said vehicle. I shall be fully responsible for any kind of declaration

problems in future.

Place…………………… Date……………… Time………………. a.m./ p.m.

Given delivery of above said vehicle against full & final payment.

Dealer’s Signature

Seller’s Signature

Name………………………………………

Address…………………………………..

…………………………………………………

Tel…………………………………………….

Driving Licence No…………………….

Buyer’s Signature

Name……………………………………………..

Address………………………………………….

……………………………………………………….

Tel…………………………………………………

Driving Licence No………………………….

Purchaser’ Photo