Fillable Printable DMV Bill of sale
Fillable Printable DMV Bill of sale
DMV Bill of sale
301 Centennial Mall South ● PO Box 94789 ● Lincoln, NE 68509-4789 ● (402) 471-3918 ● TDD (402) 471-4154 (Hearing Impaired Only)
State of Nebraska
Department of Motor Vehicles
BILL OF SALE*
DATE OF SALE
(MO/DAY/YEAR)
I,in consideration of the payment of the sum of $
Transferor (Seller)
PLEASE PRINT
acknowledge receipt of payment fromand do hereby sell and
Transferee (Buyer)
PLEASE PRINT
transfer ownership of the motor vehicle described below:
Vehicle Information
Year Make Model
VIN
Transferor Information
Full Name
Address
City State Zip
Phone Number
Transferee Information
Full Name
Address
City State Zip
Phone Number
Transferor’s (Seller) SignatureTransferee’s (Buyer) Signature
Seller warrants that he/she is the lawful owner of the motor vehicle described above and that it is free and clear of all
liens, security agreements, encumbrances, claims, demands and charges.
Subscribed and sworn before me theday
of
Signature of Notary Public or Designated County Official
My commission expires on
SEAL
Subscribed and sworn before me the day
of
Signature of Notary Public or Designated County Official
My commission expires on
SEAL
*Note: Individuals transacting a motor vehicle transfer of ownership must complete a Bill of Sale at the time of sale.
They are NOT, however, required to use this Bill of Sale form.
This Bill of Sale form is made available by the Nebraska Department of Motor Vehicles as a courtesy.
Revised 2/2011
