Fillable Printable Vehicle Bill of Sale 5049 - Missouri

Vehicle Bill of Sale 5049 - Missouri

Form

1957

Missouri Department of Revenue

Bill of Sale or Even-Trade Bill of Sale

The seller must complete all applicable information and sign this form. The Bill of Sale or Even-Trade Bill of Sale must be notarized

when showing proof of ownership on major component parts of a rebuilt vehicle or when specifically requested to be notarized by the

Department of Revenue.

Purchaser(s) Names(s) (typed or printed) Seller(s) Name(s) (typed or printed)

Address Address

City State Zip Code City State Zip Code

Mail to: Motor Vehicle Bureau

P.O. Box 100

Jefferson City, MO 65105

Visit http://dor.mo.gov/motorv/nos/

for additional information

Form 1957 (Revised 10-2013)

Subscribed and sworn before me, this

day of year

State County (or City of St. Louis)

Notary Public Signature Notary Public Name (Typed or Printed)

My Commission Expires

Notary

Embosser or black ink rubber stamp seal

Year Make Title Number Vehicle Identification Number

Sale Date (MM/DD/YYYY)

Sale Price If an even-trade occurred, please complete the information in the Unit

or Vehicle Traded For Section.

__ __ / __ __ / __ __ __ __

__ __ __ __

Motor

Vehicle

Year Make Title Number

Vehicle Identification Number

__ __ __ __

Unit or Vehicle

Traded for

Signature of One Purchaser Signature of One Seller Unit or Vehicle Sold For Destruction

r Yes r No

Under penalties of perjury, I declare that the information I have provided and any attached supplement is true, complete, and correct.

Signature

Year Make Title Number Motor Identification Number

Horsepower Sale Date (MM/DD/YYYY) Sale Price

__ __ __ __

__ __ / __ __ / __ __ __ __

Outboard

Motor

Phone: (573) 526-3669

E-Mail: [email protected]

Notary required for rebuilt vehicle or when specifically requested to be notarized by the Department of Revenue.

Year Make Title Number Year Make Title Number

Vessel Identification Number Vehicle Identification Number

Sale Date (MM/DD/YYYY) Sale Price Sale Date (MM/DD/YYYY) Sale Price

__ __ __ __ __ __ __ __

__ __ / __ __ / __ __ __ __ __ __ / __ __ / __ __ __ __

Boat

Trailer

__ __ / __ __ / __ __ __ __

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