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State of Nebraska |
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Department of Motor Vehicles |
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BILL OF SALE* |
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DATE OF SALE |
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(MO/DAY/YEAR) |
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I, |
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in consideration of the payment of the sum of $ |
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Transferor (Seller) PLEASE PRINT |
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acknowledge receipt of payment from |
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and do hereby sell and |
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Transferee (Buyer) PLEASE PRINT |
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transfer ownership of the motor vehicle described below:
Vehicle Information
Year |
Make |
Model |
VIN |
Transferor Information
Full Name
Address
City State Zip
Phone Number
Transferee Information
Full Name
Address
City State Zip
Phone Number
Transferor’s (Seller) Signature |
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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.
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Subscribed and sworn before me the |
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day |
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Subscribed and sworn before me the |
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day |
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of |
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of |
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Signature of Notary Public or Designated County Official |
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Signature of Notary Public or Designated County Official |
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My commission expires on |
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My commission expires on |
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SEAL |
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SEAL |
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*Note: Individuals transacting a motor vehicle transfer of ownership must complete a Bill of Sale at the time of sale.
They are NOT, however, required to use this Bill of Sale form.
This Bill of Sale form is made available by the Nebraska Department of Motor Vehicles as a courtesy.
Revised 1/2014
301 Centennial Mall South ● PO Box 94789 ● Lincoln, NE