KENTUCKY BILL OF SALE

VEHICLE INFORMATION
Make: Dodge
_______________________ Model: Dakota
________________________ Year: 2003
_______________
Style: 4-dr
_____________________ Color: grey
_________________ VIN# _________________________
Odometer reading ___________________________ Seller registration # __________________________
Have you previously filed an application for title of this vehicle? Yes No

I ________________________________________ of _______________________________________
(SELLER’S FULL NAME) (ADDRESS)

____________________________ ____________ as owner of this vehicle, transfer ownership to

(CITY) (STATE)
Van Lawson Jr
____________________________________________ of 105-B Lone Circle
_______________________________________
(BUYER’S FULL NAME) (ADDRESS)

Murray
____________________________ KY
____________ for the sum of $ __________________________
800
(CITY) (STATE) (E.G. $10,500)

This was a gift. Indicate relationship (e.g. parent, spouse, friend): _________________________________

I declare under penalty of perjury that the statements herein contained are true and correct to the best of my knowledge and belief.

(SELLER’S SIGNATURE) (MM/DD/YYYY)

(BUYERS’S SIGNATURE) (MM/DD/YYYY)

(KEEP THIS COPY FOR YOUR RECORDS)

VEHICLE INFORMATION
Make: Dodge
_______________________ Model: Dakota
________________________ Year: 2003
_______________
Style: 4-dr
_____________________ Color: grey
_________________ VIN# _________________________
Odometer reading ___________________________ Seller registration # __________________________
Have you previously filed an application for title of this vehicle? Yes No

I ________________________________________ of _______________________________________
(SELLER’S FULL NAME) (ADDRESS)

____________________________ ____________ as owner of this vehicle, transfer ownership to

(CITY) (STATE)
Van Lawson Jr
____________________________________________ of 105-B Lone Circle
_______________________________________
(BUYER’S FULL NAME) (ADDRESS)

Murray
____________________________ KY
____________ for the sum of $ __________________________
800
(CITY) (STATE) (E.G. $10,500)

This was a gift. Indicate relationship (e.g. parent, spouse, friend): _________________________________

I declare under penalty of perjury that the statements herein contained are true and correct to the best of my knowledge and belief.

(SELLER’S SIGNATURE) (MM/DD/YYYY)

(BUYERS’S SIGNATURE) (MM/DD/YYYY)

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