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State of Nebraska
Department of Motor Vehicles
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BILL OF SALE*
DATE OF SALE
(MO/DAY/YEAR)
I,
in consideration of the payment of the sum of $
Transferor (Seller) PLEASE PRINT
acknowledge receipt of payment from
and do hereby sell and
Transferee (Buyer) PLEASE PRINT
transfer ownership of the motor vehicle described below:
Vehicle Information
Year
Make
Model
VIN
Transferor Information
Transferee Information
Full Name
Full Name
Address
Address
City State Zip
City State Zip
Phone Number
Phone Number
Transferor’s (Seller) Signature
Transferee’s (Buyer) Signature
Seller warrants that he/she is the lawful owner of the motor vehicle described above and that it is free and clear of all
liens, security agreements, encumbrances, claims, demands and charges.
Subscribed and sworn before me the
day
of
Subscribed and sworn before me the
day
of
Signature of Notary Public or Designated County Official
Signature of Notary Public or Designated County Official
My