IN CONSIDERATION OF THE SUM OF $ ______________________________

WE HAVE SOLD ON THIS DATE _____________________________________

TO BUYER __________________________________WHOSE ADDRESS IS..

_____________________________________________

MAKE _____________________________

MODEL ____________________________

SERIAL # ___________________________

MILEAGE ___________________________

TAG # _______________________________

DECAL # _____________________________

YR & MONTH ON TAG _________________

SIGNATURE OF SELLER ________________________________

NOTARY PUBLIC ____________________________

MY COMMISSION EXPIRES ____________________________

SIGNATURE OF BUYER ________________________________________

NOTARY PUBLIC ___________________________

MY COMMISSION EXPIRES ___________________________ 

*VEHICLE MUST BE TRANSFERRED WITHIN 20 DAYS