Vehicle Transfer Form

Vehicle Transfer Form
Please complete the form by providing the information below:
Vehicle Information
Make
Model
Body Type
Vehicle Identification No. / Chassis No.
Engine No.
Year Manufactured
License Plate
Transmission
Date of Sale/Transfer
MonthDayYear
Date
Odometer Reading
Numeric Values Only
Transferor Information
Name / Company
Address
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Company Registration Number
Transferee Information
Name / Company
Address
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Company Registration Number
Bill of Sale
Sale Price / Gift Value
Relationship
Enter the relationship of this is intended as a gift
Hidden place holder (if gift)
Statement
Hidden relationship placeholder (if gift)
I/We {name} sell, transfer, and convey, the abovenamed vehicle/vessel to {name20} on {dateOf} {statement} {salePrice9}.
{hiddenPlace38} {relationship}
Odometer Declaration
Odometer Reading
reflects the actual mileagedoes not reflect the actual mileage
If it does not reflect the actual milage, please explain here:
Federal and State laws require the transferor to declare the current mileage upon transfer of ownership. Failure to complete or providing a false statement may result in fines and/or imprisonment.
The current mileage/odometer reading is at {odometerReading} and to the best of my knowledge {odometerReading41} of the vehicle.
{ifIt}
Acknowledgement
We hereby acknowledge the facts of this transfer and we certify under penalty of perjury of applicable laws of the State that the above-stated information are true and correct.
Signature of Transferor
Clear
Signature of Transferee
Clear
Signature of Transferor
Clear
Signature of Transferee
Clear
Date signed by Transferor
MonthDayYear
Date
Date signed by Transferee
MonthDayYear
Date
Power of Attorney
I/We {name20} hereby appoint blanks as my/our Attorney-in-Fact to process and complete the necessary documents and procedures as needed in order to complete the transfer of ownership of the aforementioned vehicle above, as required by law.
Signature of Transferor
Clear
Signature of Transferor
Clear
Should be Empty:

Vehicle Transfer Form

Vehicle Information

Transferor Information

Transferee Information

Bill of Sale

Odometer Declaration

Acknowledgement

Power of Attorney