Notice of Sale and and or Bill of Sale for a Motor Vehicle, Mobile Home, Off-Highway Vehicle or Vessel

The Notice of Sale and or Bill of Sale for a Motor Vehicle, Mobile Home, Off-Highway Vehicle or Vessel form has to be completed and submitted to the local Tax Collector’s office in case of wanting to sell any of the mentioned vehicle types.

Extracted Text for Proper Search

STATE OF FLORIDA 
DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES - DIVISION OF MOTORIST SERVICES 	
 	SUBMIT THIS FORM TO YOUR LOCAL TAX COLLECTOR OFFICE 	w w
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Notice of Sale and/or Bill of Sale for a Motor Vehicle,  
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.	 	 
   	   Bill of Sale (Seller and purchaser must complete sections 1, 2 (when applicable) & 3).	 	 	 
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 ACTU AL MILE AGE.	    	  2.  IS IN EXCESS OF ITS MECHANICAL LIMITS.	    	  3. IS NOT THE ACTUAL MILEAGE. 	  Affidavit (When applicable):	 	
 
  
3. 	
 	
Certification 	 	 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 
addresses: http://www.flhsmv.gov/offices/	
 	 HSMV 82050 (Rev. 06/11) S