Vehicle Bill of Sale - Nebraska

LANCASTER COUNTY TREASURER
BILL OF SALE
DATE OF SALE ________________
(00/00/0000)
I, ___________________________ in consideration of the payment of the sum of $ _________
(seller) please print
Acknowledge receipt of payment from ________________________ and do hereby sell and
(buyer) please print
Transfer ownership of the motor vehicle described below:
VEHICLE INFORMATION
_______ ____________ ______________ ________ _________ ___________
YEAR MAKE MODEL COLOR VIN
TRANSFER FROM (SELLER) INFORMATION TRANSFER TO (BUYER) INFORMATION
FULL NAME FULL NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE PHONE
__________________________________________ ___________________________________
(TRANSFERRED FROM/SELLER SIGNATURE) (TRANSFERRED TO/BUYERSIGNATURE)
SELLER WARRANTS THAT HE/SHE IS THE LAWFUL OWNER OF THE MOTOR VEHICLE DESCRIBED ABOVE AND THAT
IT IS FREE AND CLEAR OF ALL LIENS, SECURITY AGREEMENTS, ENCUMBRANCES, CLAIMS DEMANDS OR CHARGES.
INDIVIDUALS TRANSACTING A MOTOR VEHICLE TRANSFER OF OWNERSHIP MUST COMPLETE A BILL OF SALE AT
THE TIME OF SALE. THEY ARE NOT, HOWEVER, REQUIRED TO USE THIS BILL OF SALE FORM. THIS BILL OF SALE
FORM IS MADE AVAILABLE BY THE LANCASTER COUNTY TREASURER’S OFFICE AS A COURTESY.
ANDY STEBBING
LANCASTER COUNTY TREASURER
625 NORTH 46
TH
ST LINCOLN, NE 68503
PHONE (402) 441-7497/ FAX (402) 441-6484
WWW.LANCASTER.NE.GOV
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Vehicle Bill of Sale - Nebraska PDF

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