Equipment Bill of Sale Form
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Let it be known that _____________________ (Hereinafter referred to as the “Buyer”)
agrees to purchase from _____________________ (Hereinafter referred to as the
“Seller”) for the price of $_____________________ (US Dollars) for the following item
(Hereinafter referred to as the “Equipment”):
Description: ___________________________________________________________
Make: ________________ Model: ________________ Year: ________________
Serial No. ________________ Reading (if applicable): ________________
The date of the transfer of funds and the possession of the equipment shall occur on the
____ day of ______________, 20____. Seller acknowledges that they have the full
ownership rights and is legally allowed to sell the Equipment. In addition, the Seller is
transferring the Equipment with no warranties and strictly in “as-is”. At this time the
Equipment is in operating condition.

Signature of Buyer __________________ Date ____________ Print ______________