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BILL OF SALE <br />(Notary Validation Required) <br />Know All Men by these presents <br />That in consideration of Dollars ($ ) <br />and other valuable consideration, the receipt whereof is hereby acknowledged, the undersigned (seller) does hereby sell, transfer and deliver <br />unto (buyer), his right, title and interest in and to the following <br />described vehicle: License Plate Number Make and Year Body Type <br />Vehicle Identification Number <br />The said seller hereby warrants that he is the lawful owner of said vehicle; that it is free from all liens and encumbrances except *lien <br />In favor of * If no lienholder shown, transfer <br />NAME will be processed without <br />recording lien. <br />ADDRESS CITY & STATE ZIP CODE <br />That he has the right to sell the same as aforesaid, and that he will warrant and defend the title of same against the claims and demands of all <br />persons whomsoever except lienholder noted above. <br />I certify that the odometer now reads <br />of my knowledge that it reflects the actual mileage unless one of the following statements is checked: <br />(1) The mileage reading reflects the amount of mileage in excess of its mechanical limits. <br />(2) The odometer reading is NOT the actual mileage. WARNING: ODOMETER DISCREPANCY <br />(PLACE NOTARY SEAL HERE) <br />Subscribed and sworn to before me this <br />day of <br />Notary Public, <br />State of <br />FA <br />My Commission expires <br />STATE OF HAWAII NOTARY CERTIFICATION <br />(PLACE NOTARY SEAL HERE) <br />Document Date: <br />Notary Name <br />Document Description: <br />Notary Signature <br /># of pages <br />Date <br />Circuit <br />(no tenths) miles and to the best <br />SIGNATURE OF <br />SELLER(S) <br />SIGNATURE OF <br />BUYER(S) <br />PRINTED NAME OF <br />SELLER(S) <br />ADDRESS <br />FOR COUNTY OF HAWAII, MOTOR VEHICLE REGISTRATION PURPOSES ONLY: <br />SIGNATURE OF <br />BUYER(S) <br />ADDRESS <br />ADDRESS CITY & STATE ZIP CODE <br />Created 03/17/09 <br />Revised 07/08/09 <br />Master Bill of SaIe.XIS Hawai'i County is an Equal Opportunity Provder and Employer Updated 7/29/2009 <br />