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Get AR DFA Form 10-313

STATE OF ARKANSAS VEHICLE BILL OF SALE/ODOMETER DISCLOSURE STATEMENT Print Form Clear Form Section 1 - Vehicle Identification Number VIN If buyer is a company rather than individuals go directly to Section 3 - Company Name. Section 2 - Buyer Information First Name Middle Initial Last Name Address City State Zip Check this box if there are multiple owners Section 3 - Company Information Company Name Company Address Section 4 - Dealer/Seller Name and Address Dealer/Seller Name Section 5 - Purchase Date Section 6 - Description of Vehicle Purchased and Vehicle Trade-In Vehicle Purchased Make Model Year Vehicle Trade-In Primary Color Secondary Color If applicable Vehicle Identification Number of Trade-In Section 7 - Odometer Disclosure I sellers printed name hereby state that the Odometer now reads of the items below is checked no tenths miles and the best of my knowledge that it reflects the actual miles UNLESS one 1. EXCEEDS MECHANICAL LIMITS - I hereby certify that to the best of my knowledge the odometer reading reflects the amount of mileage in excess of its mechanical limits. 2. WARNING - ODOMETER DISCREPANCY -I hereby certify that the odometer reading is not the actual mileage. Section 8 - Sales Price Information - Signatures Printed Name of Seller Full Sales Price of Vehicle Signature of Seller Less Trade-In Net Taxable Income Signature of Buyer SECTION 9 - WARNING WARNING It is a FELONY for any taxpayer to willfully attempt to evade or defeat the payment of any tax penalty or interest due under state law OR for any person to willfully assist a taxpayer in evading or defeating the payment of any tax penalty or interest due under state law. This form may be reproduced so long as the format and language are not changed from the original* 10-313. Section 2 - Buyer Information First Name Middle Initial Last Name Address City State Zip Check this box if there are multiple owners Section 3 - Company Information Company Name Company Address Section 4 - Dealer/Seller Name and Address Dealer/Seller Name Section 5 - Purchase Date Section 6 - Description of Vehicle Purchased and Vehicle Trade-In Vehicle Purchased Make Model Year Vehicle Trade-In Primary Color Secondary Color If applicable Vehicle Identification Number of Trade-In Section 7 - Odometer Disclosure I sellers printed name hereby state that the Odometer now reads of the items below is checked no tenths miles and the best of my knowledge that it reflects the actual miles UNLESS one 1. EXCEEDS MECHANICAL LIMITS - I hereby certify that to the best of my knowledge the odometer reading reflects the amount of mileage in excess of its mechanical limits. EXCEEDS MECHANICAL LIMITS - I hereby certify that to the best of my knowledge the odometer reading reflects the amount of mileage in excess of its mechanical limits. 2. WARNING - ODOMETER DISCREPANCY -I hereby certify that the odometer reading is not the actual mileage. 2. WARNING - ODOMETER DISCREPANCY -I hereby certify that the odometer reading is not the actual mileage. Section 8 - Sales Price Information - Signatures Printed Name of Seller Full Sales Price of Vehicle Signature of Seller Less Trade-In Net Taxable Income Signature of Buyer SECTION 9 - WARNING WARNING It is a FELONY for any taxpayer to willfully attempt to evade or defeat the payment of any tax penalty or interest due under state law OR for any person to willfully assist a taxpayer in evading or defeating the payment of any tax penalty or interest due under state law. .

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