Nebraska DMV Bill of Sale Form

The Nebraska DMV Bill of Sale is a form that is used for allowing a buyer to purchase an automobile from a seller. This form can be shown to any department of motor vehicle’s office in Nebraska to for receiving the title.

Extracted Text for Proper Search

301 Centennial Mall South  ● PO Box 94789 ● Lincoln, NE 68509 -4789  ● (402) 471 -3918  ● TDD (402) 471 -4154 (Hearing Impaired Only ) 	
 	
State of Nebraska  	
Department of Motor Vehicles  	
 	
BILL OF SALE* 	
 
 
  DATE OF SALE 
 	
(MO/DAY/YEAR)  	
 
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:   	
Vehicle Information 
 
 
  Year    Make   Model    VIN 	
 	
Transferor Information	 	
 
Full Name  
 
Address  
 
City State Zip   
 
Phone Number  
 	
Transferee Information	 	
 
Full Name 
 
Address  
 
City State Zip   
 
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 
 
of      
 
 	
Signature of Notary Public  or Designated County Official  	
 
My commission expires on   	
 
 
SEAL	 	
 
Subscribed and sworn before me the   day 
 
of      
 
 	
Signature of Notary Public or Designated County Official  	
 
M y commission expires on   	
 
 
SEAL 
 
*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.  
 	Revised 2/2011