Bill of sale for automobile or vehicle including odometer statement and promissory note missouri form
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BILL OF SALE OF AUTOMOBILE
To be completed upon sale of motor vehicle.
MISSOURI
County of _______________ $ _______________
(Purchase Price)
FOR AND IN CONSIDERATION OF the execution of a Promissory Note for $ ________________ and
downpayment of $ ________________ , by ____________________________ , (Buyer(s), to
____________________________ , “Seller(s)”, Seller(s) do hereby bargain and sell to Buyer(s) the
following personal property:
One (1) Motor Vehicle
Make
_____________________ Model ________________ Body Type
________________
Vehicle Identification Number (VIN) ________________ Year: _____
The said property I guarantee is my own and free of all claims and ofsets of any and all kinds.
To have and to hold the same unto Buyer(s) and Buyer(s) executors, administrators and assigns,
forever.
Seller(s) hereby covenant to and with Buyer(s)that Seller(s) is the true and lawful owner(s) of the
above - described motor vehicle, that the same is free from all encumbrances whatsoever except
the lien retained by Seller(s), that Seller(s) has good right to sell the same as aforesaid, and that
Seller(s) will warrant and defend the same against all lawful claims and demands whatsoever.
Seller(s)
________________________
Signature
Print Name: _______________________
________________________
Signature
Print Name: _______________________
SWORN TO AND SUBSCRIBED BEFORE ME, this the ____ day of ________________ , 20 ____ .
____________________________
NOTARY PUBLIC
My Commission Expires:
________________________
U.S. Legal Forms, Inc. http://www.uslegalforms.com Form MO-00431-C
ODOMETER DISCLOSURE STATEMENT
To be completed by Transferor (Seller)
Federal law (and State law, if applicable) requires that you state the mileage upon
transfer of ownership. Failure to complete or providing a false statement may result in
fines andsor imprisonment.
I, _______________________________ , state that the odometer now reads _______________ miles and to the best of
my knowledge that it reflects the actual mileage of the vehicle described below, unless one of the following
statements is checked.
I hereby certify that to the best of my knowledge the odometer reading reflects the amount of mileage in
excess of its mechanical limits.
I hereby certify that the odometer reading is NOT the actual mileage.
WARNING - ODOMETER DISCREPANCY.
Make
_______________ Model
_______________ Body Type
_______________
Vehicle Identification Number (VIN) _______________ Year: _______________
Signature of Transferor (Seller): __________________________
Transferor's (Seller's) Information
Transferor's Name (Please Type or Print):
Street Address:
City: State: Zip:
Transferee's (Buyer's) Information
Transferee's Name (Please Type or Print):
Street Address:
City: State: Zip:
Signature of Transferee (Buyer): ____________________________
DATE OF STATEMENT:
STATE OF MISSOURI
COUNTY OF _______________
SWORN TO AND SUBSCRIBED BEFORE ME, this the _____ day of _______________ , 20 _____ .
____________________________
NOTARY PUBLIC
My Commission Expires:
________________________
ORIGINAL MUST BE PROVIDED WITH APPLICATION FOR A CERTIFICATE OF TITLE
PROMISSORY NOTE
(In Connection with Sale of Vehicle)
$ _________________ _____________ County, Missouri
Date: _______________
FOR VALUE RECEIVED, the undersigned Buyer(s), promise to pay to the order of
________________________ , Seller(s), whose address is
______________________________ , the sum of _______________________
($ __________ ), together with no interest, or with interest of percent per annum,
payable in monthly installments of __________________ per month, with the first payment
being due on the _________ day of ____________ , 20 ___ and a like payment on the same
day of each month thereafter until fully paid.
THERE will be no pre-payment penalty on this Note.
IF DEFAULT is made in payment after demand, and such default shall continue for a
period of 10 days, then the holder hereof may, at its option, declare the whole sum then
remaining unpaid immediately due and payable. In case of any such default, the undersigned
agrees to pay all costs of collection, including a reasonable attorney's fee, whether or not suit is
instituted. Upon default for ten (10) days, the vehicle sold to Buyer in connection with this
promissory note shall be returned to Seller(s) and Seller(s) is granted all rights of repossession
as a secured party.
PRESENTMENT for payment, demand, notice of dishonor, protest, notice of protest and
any homestead or personal property exemption allowed by the constitutions or laws of any state
are hereby waived by the undersigned. Failure by the holder hereof to exercise any option
granted it hereunder shall not constitute a waiver of future rights.
This Note is given to secure the payment of the purchase price of a vehicle, identified
below:
Make: ______ Model: __________________ Year: _____ VIN: __________________
Title to the vehicle will either be (check option) retained by Seller until all payment
due under this note are paid in full, or transferred to Buyer at execution of this note, in which
case Seller retains a vendors lien in said vehicle and Buyer grants to Seller a security interest in
the vehicle until this note is paid in full. If title is transferred to Buyer, Seller shall be listed as a
lender on the title of the vehicle, whether or not Seller elects to perfect Seller’s security interest
in the vehicle.
__________________________________
BORROWER/BUYER SS# __________________
BORROWER/BUYER
__________________________________
BORROWER/BUYER SS# __________________
Seller Name, Address, Phone: Buyer(s) Name, Address, Phone:
______________________ ______________________
______________________ ______________________
______________________ ______________________
______________________ ______________________
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