Text version of this Form
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State of Nebraska
Department of Motor Vehicles
BILL OF SALE*
DATE OF SALE
I, in consideration of the payment of the sum of $
Transferor (Seller) PLEASE PRINT
acknowledge receipt of payment from and do hereby sell and
Transferee (Buyer) PLEASE PRINT
transfer ownership of the motor vehicle described below:
Year Make Model VIN
Transferor Information Transferee Information
Full Name Full Name
City State Zip City State Zip
Phone Number Phone Number
Transferor’s (Seller) Signature Transferee’s (Buyer) Signature
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 and charges.
Subscribed and sworn before me the day Subscribed and sworn before me the day
Signature of Notary Public or Designated County Official Signature of Notary Public or Designated County Official
My commission expires on My commission expires on
*Note: 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 Nebraska Department of Motor Vehicles as a courtesy.
301 Centennial Mall South ● PO Box 94789 ● Lincoln, NE 68509-4789 ● (402) 471-3918 ● TDD (402) 471-4154 (Hearing Impaired Only)