You can use this form when you are buying or selling a vehicle in the State of Florida. The Buyer and the seller needs to visit the Tax Collectors office along with the signed copy of this form to process with the Transfer of Title without which the Vehicle cannot be legally transferred to the Buyer. It is a mandatory process when you buy or sell a car to legally get the transfers done.
Text version of this Form
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STATE OF FLORIDA
DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES – DIVISION OF MOTORIST SERVICES
SUBMIT THIS FORM TO YOUR LOCAL TAX COLLECTOR OFFICE
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.
1. Motor Vehicle, Mobile Home, Off- Highway or Vessel Description
Year Make/Manufacturer Body Type Model Color
Certificate of Title Number 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 State Zip Code
Date of Sale Selling price
2. 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):
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 Printed Name Date
Seller’s Address City State Zip Code
Co-Seller’s Signature (when applicable) Co-Seller’s Printed Name (when applicable) Date
Co-Seller’s Address (when applicable) City State Zip Code
Purchaser’s Signature Purchaser’s Printed Name Date
Co-Purchaser’s Signature (when applicable) Co-Purchaser’s Printed name (when applicable) Date
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
HSMV 82050 (Rev. 06/11) S