Fillable Printable Vehicle Bill of Sale Form - New Hampshire
Fillable Printable Vehicle Bill of Sale Form - New Hampshire
Vehicle Bill of Sale Form - New Hampshire
NEW HAMPSHIRE VEHICLE BILL OF SALE
Date of Sale: _______________
Seller(s) h ereby transfers all rights, title and in terest to the buyer(s ) in the following
motor vehicle for the sum of $ ____________, on an as-is and as-seen basis, described as
follows:
Make:
Model Year:
Manufactured
Year:
Vehicle
Identification
No.:
Type of Body:
Number of
Cylinders:
Color:
Fuel Type:
I declare under the penalties of perjury and to the best of my knowledge and belief that
all information contained within this bill of sale are true and correct.
Seller(s) Signature: __________________________________
Seller(s) Printed Name: __________________________________
Seller(s) Address: __________________________________
Buyer(s) Signature: __________________________________
Buyer(s) Printed Name: __________________________________
Buyer(s) Address: __________________________________
(This Bill of Sale meets the requirements o f NH RSA 261:148 III)
N.H. DEPARTMENT OF SAFETY
Division of Motor Vehicles
Bureau of Title and Anti-Theft
John J. Barthelmes
Commissioner of Safety
Richard C. Bailey, Jr.
Director of Motor Vehicles
ODOMETER DISCLOSURE STATEMENT
Federal law (and state law, if applicable) requires that you state the mileage upon
transfer of ownership. Failure to complete or providing a false statement may result in
fines and/or imprisonment.
I, state that the odometer now
(SELLER’S PRINTED NAME)
reads
(no tenths) miles and to the best of my knowledge that it
reflects the ACTUAL MILEAGE of the vehicle described below, unless one of the
following statements is checked.
CAUTION
DO NOT CHECK
BOX IF ACTUAL
MILEAGE
(1) I hereby certify that to the best of my knowledge the
odometer reading reflects the amount of mileage in
EXCESS of its MECHANICAL LIMITS.
(2) I hereby certify that the odometer reading is NOT the
ACTUAL MILEAGE.
WARNING – ODOMETER DISCREPANCY.
VEHICLE IDENTIFICATION NUMBER (VIN) YEAR MAKE BODY
DATE OF STATEMENT
BUYER
BUYER’S NAME
(PRINTED NAME)
(
STREET)
(CITY) (STATE) (ZIP CODE)
BUYER’S SIGNATURE X
(SIGNATURE)
SELLER
SELLER’S NAME
(PRINTED NAME)
(STREET)
(CITY) (STATE) (ZIP CODE)
SELLER’S SIGNATURE X
TDMV 12 (Rev. 04/07)
