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Get NE Parts Vehicle Bill of Sale 2014-2024

Nebraska Department of Motor Vehicles PARTS VEHICLE BILL OF SALE Print Reset This form is used for the transfer of a vehicle when the title has been surrendered to the Nebraska Department of Motor Vehicles as evidenced by a junked status entry on the vehicle record or vehicle fit for sale for scrap and parts only. DATE OF SALE MO/DAY/YEAR in consideration of the payment of the sum of I Seller PLEASE PRINT acknowledge receipt of payment from and do hereby sell and Purchaser PLEASE PRINT transfer ownership of the parts vehicle described below Make Year Model VIN Owner Seller Information Purchaser Information Full Name Residential Address Mailing Address City State Zip Phone Number certify to the best of my knowledge that the odometer reading is the actual mileage of the vehicle unless one of the statements below is checked Odometer Reading The mileage stated is in excess of mechanical limits. Reading is NOT actual mileage WARNING ODOMETER DISCREPANCY Seller s Signature Purchaser s Signature Any person firm association partnership Limited Liability Company or corporation that uses this Parts Vehicle Bill of Sale to transfer ownership of a vehicle that does not meet the criteria described above and/or provides false information may be subject to a fine or imprisonment or both. DATE OF SALE MO/DAY/YEAR in consideration of the payment of the sum of I Seller PLEASE PRINT acknowledge receipt of payment from and do hereby sell and Purchaser PLEASE PRINT transfer ownership of the parts vehicle described below Make Year Model VIN Owner Seller Information Purchaser Information Full Name Residential Address Mailing Address City State Zip Phone Number certify to the best of my knowledge that the odometer reading is the actual mileage of the vehicle unless one of the statements below is checked Odometer Reading The mileage stated is in excess of mechanical limits. Reading is NOT actual mileage WARNING ODOMETER DISCREPANCY Seller s Signature Purchaser s Signature Any person firm association partnership Limited Liability Company or corporation that uses this Parts Vehicle Bill of Sale to transfer ownership of a vehicle that does not meet the criteria described above and/or provides false information may be subject to a fine or imprisonment or both. .

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