Indiana Vehicle Bill of Sale Form

This Form is used as a Bill of Sale for the Selling of Vehicle In the State of Indiana

Indiana Vehicle Bill of Sale Form

Text version of this Form

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BILL OF SALE

State Form 44237 (R3 / 8-12)

INDIANA BUREAU OF MOTOR VEHICLES

INSTRUCTIONS: 1. Complete in blue or black ink or print form.

VEHICLE OR WATERCRAFT INFORMATION

Vehicle or Hull Identification Number

Registration Number

Year Make Model

(If applicable, watercraft only)

SALE INFORMATION

Purchase Price Date of Sale (mm/dd/yyyy)

Purchaser Name(s) (last, first, middle initial or company name)

Address (number and street)

City State ZIP Code

I do hereby sell, transfer and convey all rights for the above vehicle/watercraft to the buyer in consideration of the sale payment

amount. I certify that the vehicle/watercraft is not subject to any liens that are the responsibility of the seller.

I swear or affirm that the information I have entered on this form is correct. I understand that making a false statement may

constitute the crime of perjury.

Signature of Seller Date (mm/dd/yyyy)

Printed Seller Name (last, first, middle initial or company name)

Signature of Seller Date (mm/dd/yyyy)

Printed Seller Name (last, first, middle initial or company name)

I swear or affirm that the information entered on this form is correct. I understand that making a false statement may constitute

the crime of perjury.

Signature of Purchaser Date (mm/dd/yyyy)

Printed Purchaser Name (last, first, middle initial or company name)

Signature of Purchaser Date (mm/dd/yyyy)

Printed Purchaser Name (last, first, middle initial or company name)