Fillable Printable DMV Bill of Sale Form - Nebraska
Fillable Printable DMV Bill of Sale Form - Nebraska
DMV Bill of Sale Form - Nebraska
State of Nebraska
Department of Mo tor Vehic les
BILL OF SALE*
DATE OF SALE
(MO/DAY/YEAR)
I,in consideration of the payment of the sum of $
Tran s fe ror (S e lle r)
PLEASE PRINT
acknowledge receipt of payment fromand do hereby sell and
Tran s fe ree (B uyer)
PLEAS E PRINT
transfer ownership ofthe motor vehicle described below:
Vehicle Information
Year Make Model VIN
Transferor Information
Full Name
Address
City State Zip
Phone Number
Transferee Info rmation
Full Name
Address
City State Zip
Phone Number
Tran sfero r ’s (Selle r) Sign a ture Tran sferee ’s ( Buyer ) Sign a ture
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 the day
of
Signature of Notary Publicor Designated Co unty Offici al
My commission expires on
SEAL
Subscribed and sworn before me the day
of
Signature of Notary Publicor Designated Co unty Offici al
My commission expires on
SEAL
*Note: Indiv iduals transa c ting a motor vehic le tra nsf e r o f owners hip must complete a Bill of Sale at the time o f 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 1/2014
301 Centennial Mall South ● PO Box 94789 ● Lincoln, NE 68509-4789 ● (402) 471-3918
