Pa Bill of Sale

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Date Submitted: 10/21/2014 07:37 AM

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BILL OF SALE OF AUTOMOBILETo be completed upon sale of motor vehicle. |

State of PennsylvaniaCounty of _______________ | $_______________ |

FOR AND IN CONSIDERATION OF ___________________ Dollars ($___________) cash in hand, paid me this day in full by____________________________, “Buyer(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 offsets of any and all kinds.To have and to hold the same unto Buyer(s) and Buyer(s) executors, administrators and assigns, forever.This vehicle is sold “as-is” without any warranties, express or implied, as to the condition of such vehicle. By accepting this Bill of Sale, Buyer(s) represent that Buyer(s) have personally inspected the vehicle and accepts the vehicle “as-is”. |

Seller(s) ________________________ Signature Print Name: _______________________ ________________________ Signature Print Name: _______________________ |

SWORN TO AND SUBSCRIBED BEFORE ME, this the ____ day of ________________, 20____. ____________________________ NOTARY PUBLICMy Commission Expires:________________________ |

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U.S. Legal Forms, Inc. http://www.uslegalforms.com | Form US-00431B |

ODOMETER DISCLOSURE STATEMENTTo 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 and/or imprisonment. |

I, _______________________________, state that the odometer now reads _______________ miles and to the best of my knowledge that it...