Form Dr 2173-Pn - Bill Of Sale For Motor Vehicle With Promissory Note - State Of Colorado

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Bill of Sale for Motor Vehicle
FOR AND IN CONSIDERATION OF the execution of a Promissory Note for $___________________, and down payment
of $____________________, by Buyer, the undersigned Seller grants, sells, transfers, and conveys to the Buyer, the
Seller’s right, title and interest, in and to the following motor vehicle, to have and to hold the said motor vehicle forever.
______ __________ ________ __________ ____________________________________ _____________ _____
YEAR
MAKE
BODY
MODEL
VEHICLE IDENTIFICATION NUMBER (VIN)
DATE OF SALE TIME
The undersigned Seller(s) certifies, under penalty of perjury, that he/she is the lawful owner of said motor vehicle;
that said motor vehicle is free and clear of all liens and encumbrances, except the lien retained by Seller;
that he/she has full power, right and lawful authority to sell the same; and
that he/she will warrant and defend the title of same against the lawful claims and demands of all persons.
This motor vehicle and equipment is sold and accepted “As Is”. (Where used herein, the singular includes the plural.)
Odometer Disclosure Statement:
Federal law requires that you state the odometer mileage upon transfer of ownership,
failure to complete or providing a false statement may result in fines and/or imprisonment.
TO THE BEST OF MY KNOWLEDGE:
__________________
[ ] THE ODOMETER READING IS THE ACTUAL MILEAGE OF THE VEHICLE
Current Odometer Reading
[ ] THE ODOMETER READING IS IN EXCESS OF ITS MECHANICAL LIMITS.
(No Tenths of Miles)
[ ] THE ODOMETER READING IS NOT THE ACTUAL MILEAGE –
WARNING ODOMETER DISCREPANCY
SELLER(S) CERTIFY UNDER PENALTY OF PERJURY THAT THE ABOVE IS TRUE AND CORRECT TO THE BEST OF THEIR KNOWLEDGE.
BUYER’S SIGNATURE BELOW ACKNOWLEDGES TRANSFER OF OWNERSHIP AND RECEIPT OF ODOMETER STATEMENT.
____________________________________________
____________________________________________
Seller/Selling Company/Agency (Please Print)
Seller/Seller’s Agent Printed Name
X ____________________________________________
_____________
Seller/Seller’s Agent Signature
Date
____________________________________ ________________________ ____________ __________
Seller’s Street Address
City
State
Zip
X ____________________________________________ X ____________________________________________
Buyer’s Signature (1) (Required)
Buyer’s Signature (2) (Required)
____________________________________________
____________________________________________
Buyer’s Printed Name (1)
Buyer’s Printed Name (2)
____________________________________ ________________________ ____________ __________
Buyer’s Street Address
City
State
Zip
CRS 42-3-115. Registration upon transfer.
(2) (a) Except as provided in paragraph (b) of this subsection (2), the transferee, before operating or permitting the operation of a motor vehicle upon a highway, shall register the vehicle.
(b) A transferee may operate a motor vehicle on the highway before registering it if: (I) The vehicle is exempt from registration pursuant to section 42-3-103 or 42-3-104; or
(II) The vehicle has been temporarily registered pursuant to section 42-3-203 (3); or
(III) (A) The transferee has purchased the motor vehicle within the last thirty-six hours from a person who is not a motor vehicle dealer under article 6 of title 12, C.R.S.;
(B) The vehicle was purchased either on a Saturday, on a Sunday, on a legal holiday, or between 5 p.m. and 8 a.m.;
(C) The vehicle is being driven from the place where the transferor stored the vehicle to the place where the transferee intends to store the vehicle;
(D) The owner possesses, in the vehicle, a bill of sale that shows the time and date of sale and that is signed by both the buyer and seller; and
(E) The owner possesses, in the vehicle, proof of insurance as required by section 42-4-1409.
State of Colorado, County of _______________
State of Colorado, County of _______________
Subscribed and sworn to, or affirmed, before me on
Acknowledged before me on
_______________, 20__ by Seller(s),
_______________, 20__ by Buyer(s),
______________________________________.
______________________________________.
_________________________
_________________________
Notary Public
[Seal]
Notary Public
[Seal]
DR 2173-PN 8/28/16

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