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Purchase Agreement

Seller Buyer
Name___________________________________ Name_________________________________
Co-owner________________________________ Co-owner______________________________
Seller’s Address___________________________ Address_______________________________
City_____________________________________ City__________________________________
State_____________ Zip Code________________ State_____________ Zip Code_____________

Description of Vehicle Being Sold


Year____________________Make_______________________Color________________________
Model Description_________________________________________________________________
Model Style________________________________________________________________________
Q 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 Lienbolder ________________________ _____ 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 connect 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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