Fill and Sign the In Consideration of the Mutual Promises Set Forth Herein and for Other Form

Bill of Sale of Motor Vehicle with Disclaimer of Warranties For and in consideration of _____________________ Dollars, cash in hand paid, and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the undersigned ________________ (Name of Seller) of _________________ ____________________________________________________________________________ (street address, city, state) , does hereby sell unto ___________________ (Name of Buyer) of ______________________________________________________________________ ____ _________ (street address, city, state) , the following described Motor Vehicle (hereinafter called Vehicle)  New or used: _______ (state whether new or used) ;  Year and model: ______ (year of Vehicle) and __________ (model of Vehicle) ;  Number of cylinders: _______ (number);  Make or trade name: ___________ (make);  Body type: ____________ (body type);  Model number or series: ________ (number);  Manufacturer's Serial Number: ___________________ (number);  Motor Number: ____________ (number). In connection with the described Vehicle, Seller disclaims all warranties, either express or implied, including, but not limited to, any implied warranty of merchantability or fitness for a particular purpose. Seller's disclaimer of warranties contained in this Bill of Sale does not affect, in any manner, the terms of any warranty from the manufacturer of the described Vehicle that may be applicable to the Vehicle. WITNESS my signature this the _____ day of ____________, 20_____. ________________________ (Printed Name of Seller) ________________________ (Signature of Seller) (Acknowledgment form may vary by state) State of _____________________ County of ___________________ Personally appeared before me, the undersigned authority in and for the said County and State, on this _______________ (date), within my jurisdiction, the within- named _____________________ (Name of Seller), who acknowledged that he executed the above and foregoing instrument. ________________________________ NOTARY PUBLIC My Commission Expires: ____________________