Fillable Printable Off-Highway Vehicle Bill of Sale Form - Florida

Off-Highway Vehicle Bill of Sale Form - Florida

STATE OF FLORIDA

DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES

DIVISION OF MOTOR VEHICLES, Neil Kirkman Building - Tallahassee, FL 32399

Notice of Sale and/or Bill of Sale for a Motor Vehicle, Mobile Home,

Off-Highway Vehicle or Vessel

Notice of Sale (Seller ONLY must complete sections 1 & 3). Purchaser does not need to sign.

Bill of Sale (Seller and purchaser must complete sections 1, 2, when applicable & 3)

1. Motor Vehicle, Mobile Home, Off- Highway or Vessel Description

Year

Make/Manufacturer

Body Type

Model

Color

Certificate of Title Number Identification Number

I do hereby sell or have sold and delivered the above described motor vehicle, mobile home,

off-highw ay vehicle or vessel to:

Print Name(s) of Purchaser(s)

Address City State Zip Code

Date of Sale

Selling price

2. Odometer Disclosure Statement (Required For a Motor Vehicle)

Federal and State law requires that you state the mileage in connection with the transfer of ownership. Failure

to complete or p roviding a false statement may result in fines and/or imprisonment.

WE STATE THAT THIS MOTOR VEHICLE’S 5 DIGIT OR 6 DIGIT ODOMETER NOW READS

, .XX (NO TENTHS) MILES, DATE READ ________/________/________, AND WE HEREBY CERTIFY

THAT TO THE BEST OF OUR KNOWLEDGE THE ODOMETER READING:

1. REFLECTS THE ACTUAL MILEAGE.

2. IS IN EXCESS OF ITS MECHANICAL LIMITS.

3. IS NOT THE ACTUAL MILEAGE.

3. Certification

UNDER PENA LTIES OF PERJURY, I D E C L AR E T HAT I H AV E READ T H E F O R E G OI N G D O C U M E N T AN D T HAT T H E F AC T S

STATED IN IT A RE TRUE.

Seller's Signature

Seller's Printed Name Date

Seller's Ad dress City State Zip Code

Co-Seller's Signature (if applicable) Co-Seller's Printed Name (if applicable) Date

Co-Seller's Address (if applicable) City State Zip Code

Purchaser's Signature

Purchaser's Printed Name Date

Co-Purchaser's Signature (if applicable)

Co-Purchaser's Printed name (if applicable) Date

OWNERSHIP STATUS FOR THE ABOVE DESCRIBED MOTOR VEHICLE, MOBILE HOME, OFF-HIGHWAY VEHICLE OR VESSEL

WILL NOT CHANGE UNTIL THE PURCHASER APPLIES FOR AND IS ISSUED A CERTIFICATE OF TITLE.

HSMV 82050 (Rev. 01/06) S