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BILL OF SALE
State Form 44237 (R3 / 8-12)

INDIANA BUREAU OF MOTOR VEHICLES

INSTRUCTIONS:

1. Complete in blue or black ink or print form.

VEHICLE OR WATERCRAFT INFORMATION
Vehicle or Hull Identification Number

Year

Make

Model

Registration Number
(If applicable, watercraft only)

SALE INFORMATION
Purchase Price

Date of Sale (mm/dd/yyyy)

Purchaser Name(s) (last, first, middle initial or company name)

Address (number and street)
City

State

ZIP Code

I do hereby sell, transfer and convey all rights for the above vehicle/watercraft to the buyer in consideration of the sale payment
amount. I certify that the vehicle/watercraft is not subject to any liens that are the responsibility of the seller.
I swear or affirm that the information I have entered on this form is correct. I understand that making a false statement may
constitute the crime of perjury.
Signature of Seller

Date (mm/dd/yyyy)

Printed Seller Name (last, first, middle initial or company name)
Signature of Seller

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