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Bill of Sale and Odometer Disclosure Statement
DEPARTMENT OF MOTOR VEHICLES

120 State Street
Montpelier, Vermont 05603-0001

Agency of Transportation

802.828.2000

dmv.vermont.gov

If the vehicle being sold is 9 years old or newer and you are not submitting a separate Odometer Disclosure Statement,
please complete the Odometer Disclosure Statement on page 2 of this form.
I / We (Seller(s) (If a company, give company name)
hereby sell, assign or transfer ownership of the vehicle/vessel described below:
Year

Make

Model

Body/Hull Type

Color

Vessel Length
ft.

Vehicle/Vessel Identification Number

in.

Odometer Reading (Vehicles only, no tenths)

 Miles  Kilometers
 Hours
New Owner

New Co-Owner

To:
On:

Date

For: $

IF VEHICLE IS SALVAGE, SALVAGE AND REBUILT OR TOTALED THIS SECTION MUST BE COMPLETED:
I/We also certify that the motor vehicle described above is:
 Salvage
 Salvaged and Rebuilt

 Declared a total loss by insurer

Any person who sells trades or offers for sale o