Fillable Printable Vehicle Bill of Sale Form - Hawaii

Vehicle Bill of Sale Form - Hawaii

BILL OF SALE

KNOW ALL MEN BY THESE PRESENTS:

That in consideration of ______________________________________________ Dollars ($ _______________ )

and other valuable consideration, the receipt whereof is hereby acknowledged, the undersigned (seller) does hereby sell,

transfer and deliver unto ______________________________________________________________________ (buyer),

his right, title and interest in and to the following described vehicle:

License Plate No. __________________ Vehicle Identication No. ___________________________________________

Make and Model Year ________________________________ Body Type _________________________

The said seller hereby warrants that he is the lawful owner of said vehicle; that it is free from all liens and

encumbrances except *lien in favor of _________________________________________________

_______________________________________________________________________________

Federal and state laws require that you state the mileage in connection with the transfer of ownership. Failure to

complete or providing a false statement may result in nes and/or imprisonment.

I certify that the odometer now reads ___________________________ (no tenths) and to the best of my knowledge that it

reects the actual mileage unless one of the following statements is checked:

(1) The odometer reading reects that amount of mileage in excess of its mechanical limits.

(2) The odometer reading is NOT the actual mileage. WARNING: ODOMETER DISCREPANCY.

Signed this ______ day of _________________ , 20 ____

______________________________________________

Signature of Seller

Printed Name of Seller

Signature of Seller

Address

Printed Name of Seller

City State Zip Code

Subscribed and sworn before me this _________ day

of _______________________________ ,20 _____ .

__________________________________________

State of Hawaii, _________________ Judicial Circuit

My commission expires: _________________

Notary Public

ADDRESS CITY STATE ZIP CODE

NAME

(Stamp or Seal) (Stamp or Seal)

CS-L(MVR)40 (Rev. 9/10)

*If no lienholder shown,

transfer will be processed

without recording lien.

NOTARY CERTIFICATION:

(Hawaii Administrative Rules §5-11-8)

Document Date: _________________ No. Pages: ______

Document Description: ____________________________

Notary Printed Name

Notary Signature Date

Circuit