BILL OF SALE A Public Service Agency

VEHICLE/VESSEL DESCRIPTION
IDENTIFICATION NUMBER YEAR MODEL MAKE LICENSE PLATE/CF # MOTORCYCLE ENGINE #

5264 1964 GMC MC-5 891-NFL

I/We _______________________________________________________________ sell, transfer, and deliver the above vehicle/vessel
(PRINT SELLER’S NAME[S])

TIFFANY NOCENTINI
to ________________________________________________ on
01 2 9 2 0 2 1
for the amount of
$ 100.00
(PRINT BUYER’S NAME[S]) MO DAY YR (SELLING PRICE)

If this was a gift, indicate relationship: ____________________________ (e.g., parents, spouse, friend, etc.) $
(GIFT VALUE)

SELLER
I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
PRINT NAME SIGNATURE DATE DL, ID OR DEALER #

X 01/29/21
PRINT NAME SIGNATURE DATE DL, ID OR DEALER #

X
MAILING ADDRESS CITY STATE ZIP DAYTIME PHONE #

BUYER
PRINT NAME
Tiffany Nocentini
PRINT NAME

MAILING ADDRESS CITY STATE ZIP

1080 23rd Avenue #306 Oakland, CA 94606

REG 135 (REV. 2/2007) WWW

CUT ON LINE AND SAVE FOR YOUR RECORDS

BILL OF SALE A Public Service Agency

VEHICLE/VESSEL DESCRIPTION
IDENTIFICATION NUMBER YEAR MODEL MAKE LICENSE PLATE/CF # MOTORCYCLE ENGINE #

5264 1964 GMC MC-5 891-NFL

I/We _______________________________________________________________ sell, transfer, and deliver the above vehicle/vessel
(PRINT SELLER’S NAME[S])

TIFFANY NOCENTINI 01 2 9 2 0 2 1 $ 100.00

to ________________________________________________ on for the amount of
(PRINT BUYER’S NAME[S]) MO DAY YR (SELLING PRICE)

If this was a gift, indicate relationship: ____________________________ (e.g., parents, spouse, friend, etc.) $
(GIFT VALUE)

SELLER
I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
PRINT NAME SIGNATURE DATE DL, ID OR DEALER #

X
PRINT NAME SIGNATURE DATE DL, ID OR DEALER #

X
MAILING ADDRESS CITY STATE ZIP DAYTIME PHONE #

BUYER
PRINT NAME

Tiffany Nocentini
PRINT NAME

MAILING ADDRESS CITY STATE ZIP

1080 23rd Avenue #306. Oakland, CA 94606
REG 135 (REV. 2/2007) WWW