Arkansas Vehicle Bill of Sale Form
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STATE OF ARKANSAS VEHICLE BILL OF SALE/ODOMETER DISCLOSURE STATEMENT

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Section 1 - Vehicle Identification Number (VIN)
If buyer is a company rather than individuals, go directly to Section 3 - Company Name.
Section 2 - Buyer Information
First Name

Middle Initial

Last Name

Address
City, State, Zip

Check this box if there are multiple owners
Section 3 - Company Information
Company Name
Company Address
City, State, Zip

Section 4 - Dealer/Seller Name and Address
Dealer/Seller Name
Address
City, State, Zip

Section 5 - Purchase Date
Section 6 - Description of Vehicle Purchased and Vehicle Trade-In
Vehicle Purchased

Make

Model

Year

Vehicle Trade-In

Make

Model

Year

Primary Color

Secondary Color (If applicable)

Vehicle Identification Number of Trade-In

Section 7 - Odometer Disclosure
I,

(sellers printed name) hereby state that the Odometer now reads

of the items below is checked:

(no tenths) miles, and the best of my knowledge that it reflects the actu