PDF Seller Buyer Name Name Co-owner Co-owner Seller's Address ...

[Pages:1]Purchase Agreement

Seller Name ________________________________ Co-owner _____________________________ Seller's Address _______________________

City _________________________________

State _____________Zip Code ___________

Buyer Name ________________________ Co-owner _____________________ Address ______________________

City _________________________

State___________Zip Code ______

Description of Vehicle Being Sold Year _________________Make ______________________Color __________________ Model Description ________________________________________________________ Body Style ______________________________________________________________

(2 Dr/4Dr, # of cylinders, etc)

VIN __________________________State Title ___________ Mileage ______________

Disclosure & Warranty

The seller certifies that the odometer reading of this vehicle is correct to their knowledge, and that the seller has not modified the odometer, disconnected it, or rolled back the mileage during their ownership.

Lienholder Seller certifies that title will be transferred to the BUYER at time of final transaction. Seller certifies to the BUYER if there is a LIENHOLDER, the title will be released.

Name of Lienholder ____________________________Account # _________________ Address ______________________________________Phone_____________________

BUYER certifies LIENHOLDER to be added to the title.

Selling Price of Vehicle $___________________________

(____________________________________________________________________________________)

Written Dollar Amount

Signatures SELLER and BUYER declare under the penalties of perjury that the statements herein contained are true and correct to the best of their knowledge and belief.

_________________________ _______________________

Signature of SELLER #1

Signature of SELLER #2

___________________ Date

___________________________

Signature of BUYER #1

__________________________ ______________________

Signature of BUYER #2

Date

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