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BILL OF SALE

FOR A MOTOR VEHICLE, MOBILE HOME, OFF-HIGHWAY VEHICLE OR VESSEL


MOTOR VEHICLE, MOBILE HOME, OFF-HIGHWAY VEHICLE OR VESSEL DESCRIPTION
Year 2001 Make/Manufacturer Saturn Body Type Sedan Model L Series Color GOLD

Certificate of Title Number

Vehicle/Vessel Identification Number 1G8JU52F41Y507746

I/we do hereby sell or have sold and delivered the above described vehicle or vessel to:
Print Name(s) of Purchaser(s) KEVIN G RACHNER and GLENN R RACHNER Address 15704 115th AVE Date of Sale 06/20/2012 Trade In Year/Make/Model City ORLAND PARK Salesperson ELMER HARRIS Trade In Mileage Trade In VIN DL State IL State IL DL Number R256-5078-8192 Zip Code 60467 Selling Price $3,300.00 Trade In Allowance

ODOMETER DISCLOSURE STATEMENT (REQUIRED FOR A MOTOR VEHICLE)


Federal and state law requires that you state the mileage in connection with the transfer of ownership. Failure to complete or providing a false statement may result in fines and/or imprisonment. We state that this motor vehicle's 5-digit or 6-digit odometer now reads 0 8 5 8 6 6 .XX (no tenths) miles, date read: ____/____/______, and we hereby certify that to the best of our knowledge the odometer reading: 6 20 2012 ..... 1. REFLECTS THE ACTUAL MILEAGE. 2. IS IN EXCESS OF ITS MECHANICAL LIMITS. 3. IS NOT THE ACTUAL MILEAGE. Affidavit (when applicable):

COSTS AND DISCOUNTS


Type Purchase Price Processing Fees License Tax Payment Total Amount $3,300.00 $161.08 $194.00 $242.00 -$500.00 $3,397.08 Note

CERTIFICATION
Under penalty of perjury, I declare that I have read this document and that the facts stated in it are true.
Seller's Address 14600 S, Archer Ave Seller's Signature City Lockport Seller's Printed Name Ideal Auto Of USA, Inc Purchaser's Printed Name KEVIN G RACHNER Co-purchaser's Printed Name (when applicable) GLENN R RACHNER State IL Zip Code 60441 Date 6/20/2012 Date 6/20/2012 Date 6/20/2012

Purchaser's Signature

Co-purchaser's Signature (when applicable)

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