BILL OF SALE*
State of Nebraska
Department of Motor Vehicles
BILL OF SALE*
DATE OF SALE
(MO/DAY/YEAR)
I, Transferor (Seller) PLEASE PRINT
in consideration of the payment of the sum of $
acknowledge receipt of payment from
Transferee (Buyer) PLEASE PRINT
and do hereby sell and
transfer ownership of the motor vehicle described below:
Vehicle Information
Year
Full Name Address City State Zip Phone Number
Make
Transferor Information
Model
Full Name Address City State Zip Phone Number
VIN
Transferee Information
Transferor's (Seller) Signature
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.
Subscribed and sworn before me the
day Subscribed and sworn before me the
day
of
of
Signature of Notary Public or Designated County Official
My commission expires on
Signature of Notary Public or Designated County Official
My commission expires on
SEAL
SEAL
*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 68509-4789 (402) 471-3918
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