Make: | Please Fill In | Year: | |
Model: | Body Type: | ||
Vehicle Identification Number (VIN): |
SIGNED, SEALED AND DELIVERED this 22nd day of August, 2003 in the presence of: |
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A NOTARY PUBLIC IN AND FOR
The State of |
Federal and State Law requires that the Seller state the Mileage upon transfer of ownership. Failure to complete or providing an inaccurate or untruthful statement may result in fines and/or imprisonment. |
Make: | Please Fill In | Year: | |
Model: | Body Type: | ||
Current Odometer Reading: | miles | ||
Vehicle Identification Number (VIN): |
SIGNED, SEALED AND DELIVERED this 22nd day of August, 2003 in the presence of: |
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A NOTARY PUBLIC IN AND FOR
The State of |
Receipt of original copy | _______________________________ | ||
is hereby acknowledged by | 's signature(s) | ||
Address: | |||
, , . |