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Get FL HSMV 82050 2011

STATE OF FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES - DIVISION OF MOTORIST SERVICES SUBMIT THIS FORM TO YOUR LOCAL TAX COLLECTOR OFFICE www. flhsmv.gov/offices/ Notice of Sale and/or Bill of Sale for a Motor Vehicle Mobile Home Off-Highway Vehicle or Vessel Notice of Sale Seller must complete sections 1 3. STATE OF FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES - DIVISION OF MOTORIST SERVICES SUBMIT THIS FORM TO YOUR LOCAL TAX COLLECTOR OFFICE www. flhsmv*gov/offices/ Notice of Sale and/or Bill of Sale for a Motor Vehicle Mobile Home Off-Highway Vehicle or Vessel Notice of Sale Seller must complete sections 1 3. The purchaser s signature in section 3 is optional* Bill of Sale Seller and purchaser must complete sections 1 2 when applicable 3. Motor Vehicle Mobile Home Off- Highway or Vessel Description Year Make/Manufacturer Certificate of Title Number Body Type Model Color Vehicle/Vessel Identification Number I/we do hereby sell or have sold and delivered the above described motor vehicle mobile home off-highway vehicle or vessel to Print Name s of Purchaser s Address City Date of Sale State Zip Code Selling price Odometer Disclosure Statement Required For a Motor Vehicle Federal and State law requires that you state the mileage in connection with the transfer of ownership* Failure to complete or providing a false statement may result in fines and/or imprisonment. WE STATE THAT THIS MOTOR VEHICLE S 5 DIGIT OR 6 DIGIT ODOMETER NOW READS. xx NO TENTHS MILES DATE READ // AND WE HEREBY CERTIFY THAT TO THE BEST OF OUR KNOWLEDGE THE ODOMETER READING 1. REFLECTS THE ACTUAL MILEAGE* 2. IS IN EXCESS OF ITS MECHANICAL LIMITS* 3. IS NOT THE ACTUAL MILEAGE* Affidavit When applicable Certification UNDER PENALTIES OF PERJURY I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE* Seller s Signature Seller s Address Co-Seller s Signature when applicable Seller s Printed Name Date Co-Seller s Printed Name when applicable Purchaser s Signature Purchaser s Printed Name Co-Purchaser s Signature when applicable OWNERSHIP STATUS FOR THE ABOVE DESCRIBED MOTOR VEHICLE MOBILE HOME OFF-HIGHWAY VEHICLE OR VESSEL WILL NOT CHANGE UNTIL THE PURCHASER APPLIES FOR AND IS ISSUED A CERTIFICATE OF TITLE* Check your local phone book government pages or visit the following website for current mailing addresses http //www. flhsmv*gov/offices/ Notice of Sale and/or Bill of Sale for a Motor Vehicle Mobile Home Off-Highway Vehicle or Vessel Notice of Sale Seller must complete sections 1 3. The purchaser s signature in section 3 is optional* Bill of Sale Seller and purchaser must complete sections 1 2 when applicable 3. The purchaser s signature in section 3 is optional* Bill of Sale Seller and purchaser must complete sections 1 2 when applicable 3. Motor Vehicle Mobile Home Off- Highway or Vessel Description Year Make/Manufacturer Certificate of Title Number Body Type Model Color Vehicle/Vessel Identification Number I/we do hereby sell or have sold and delivered the above described motor vehicle mobile home off-highway vehicle or vessel to Print Name s of Purchaser s Address City Date of Sale State Zip Code Selling price Odometer Disclosure Statement Required For a Motor Vehicle Federal and State law requires that you state the mileage in connection with the transfer of ownership* Failure to complete or providing a false statement may result in fines and/or imprisonment. .

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