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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