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BILL OF SALE

DATE SOLD:

SELLER BUYER

For example JOHN DOE For example CHRIS DOE


COMPANY Y COMPANY X
300 BOYLSTON AVE E 795 E DRAGRAM
SEATTLE WA 98102 TUCSON AZ 85705
USA USA
Phone: 0123456789 Phone: 0123456789

THE SALE

Please write down all unique characteristics. Make: Model: Year: Identification Number: Odometer Reading: Serial Number:
Registration Number: Other:

TERMS AND CONDITIONS

The Seller affirms to be the true and lawful owner, and the item sold is free and clear of all liens, liabilities, adverse claims and
encumbrances. All Municipal, County, and State taxes in relation to the purchase, including sales taxes are included in the
purchase price. The Buyer accepts this Bill of Sale and understands that the above item(s) are being sold in 'as is' condition,
and do not come with any guarantees or warranties whatsoever. The Buyer must statisfy itself as to what is offered for sale,
and by purchasing will be held to have statisfied itself that the item is statisfactory in all respects. Under penalty of perjury in
the second degree, both the Seller and Buyer swear and affirm that the provided information is true and correct.

SIGNATURE SELLER DATE:

SIGNATURE BUYER DATE:

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