BILL OF SALE FOR MOTOR VEHICLE
                          **TO BE FILLED OUT BY SELLER**

      Model yr.     Make      Model no./name     Body style     Color

      ________     _____     ______________     ___________    ______


      Odometer reading   Vehicle Ident. Number    Date of Purchase

      ________________   _____________________    ________________

      Seller's Reg. No.                  Have you previously filed
                                         application for title for
      ________________                   this vehicle: Yes___ No___

      Seller's Name:_____________________  Street and No.________________

      City or Town:______________________  State:________________________

      AS OWNER OF THIS VEHICLE, I HEREBY TRANSFER OWNERSHIP TO;

      Buyer's Name:______________________  Street and No. _______________

      City or Town:______________________  State:________________________

      For the Sum of $_________________

      I purchased this vehicle from:_____________________________________
                                    Name

      _______________________________  ______________________  __________
      Street and Number                City or Town            State

      I DECLARE UNDER THE PENALTIES OF PERJURY THAT THE STATEMENTS HEREIN 
      CONTAINED ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND 
      BELIEF.

                                       __________________________________
                                       Seller

      SWORN TO AND SUBSCRIBED BEFORE ME THIS_______________day of ______ 
        19__.


                                      ___________________________________
        
                                      Notary Public - Justice of Peace
                                      My Commission Expires: ____________

     THIS VEHICLE MUST BE TAKEN TO,IN STATES WHERE REQUIRED, THE 
     APPROPRIATE REGISTRY OFFICE, LOCAL POLICE STATION, STATE POLICE
     BARRACKS OR M.D.C. POLICE STATION FOR VEHICLE IDENTIFICATION NUMBER 
     INSPECTION BEFORE DELIVERY TO BUYER.
                                                        Form 215

      

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