Car Order And Bill Of Sale
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1
2Corporation/LLC or Sole Proprietor and Trade Name (if any)
th
Street Number and Name (No PO Box) (ex. 1100 4
Street, SW)
City, State, Zip Code (ex. Washington, DC 20024)
Office Phone Number with Area Code (ex. (202)442-4400)
(OPTIONAL: In addition you may include your fax and/or pager numbers)
CAR ORDER AND BILL OF SALE
SELLER___________________________________STOKE NO.________________________DATE_______________
FOR DELIVERY ON: _______________PURCHASER’S NAME & ADDRESS__________________________________
________________________________________________________________________________________________
DESCRIPTION OF VEHICLE SOLD
YEAR_______MAKE_____________MODEL__________BODY_____________COLOR_______
VIN# ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ____ ____
If known, the Seller must describe any material mechanical defect in the car, and if the Seller knows that the car has
sustained any damage because of fire, water, collision or other causes for which the cost of repairs exceeded one
thousand dollars ($1,000) the Seller must also describe them.
………………………………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………………………………
The information you see the window forms for this vehicle are part of the contract.
Information on the window forms overrides any contrary provisions in the contract of sale.
CASH SALE PRICE OF VEHICLE AND EQUPMENT
GOVERNMENTAL CHARGES
Excise Tax
$_______________________________
THIS COLUMN IF
THIS COLUMN IF
Registration Fee
$_______________________________
NOT FINANCED
TO BE FINANCED
Inspection Fee
$_______________________________
Certificate of Title
$_______________________________
Transfer Fee
$_______________________________
Recorder of Deeds
$_______________________________
Temp. Tags
$_______________________________
Uninsured Driver
$_______________________________
Notary & Service
(not to exceed $2.50)
$_______________________________
TOTAL
$
$
CASH DOWN PAYMENT (Including any Cash Deposit)
$
AMOUNT CREDITED FOR ANY TRADE-IN $__________________________
Less: Balance Due
$__________________________
Net Equity_______________________________________________________
$
DESCRIPTION OF TRADE-IN
Year_________ Make__________ Body__________ Model_________
Vin#___________________________________ Stock No. ________________
TOTAL DOWN PAYMENT
$
TOTAL CASH PRICE BALANCE
$
COST OF INSURANCE AND SUMMARY OF INSURANCE COVERAGE
1. The insurance (if any) purchased by the seller only covers the car and does
not include liability insurance coverage for personal injury and property damage
caused to others, unless otherwise stated.
2. If the insurance purchased protects only the seller's interests in the car place
a check mark here.
Fire & Theft ACV__________________________________________________
Collision $
Deductible $
Other Ins.
(itemize)
$
$
Total Cost of Insurance_____________________________________________
Term of Insurance ...............................months.__________________________
Name of Agent-Broker:_____________________________________________
Name of Insurance Company:_______________________________________
Name of Finance Company:_________________________________________
PRINCIPAL BALANCE_____________________________________________
$
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Parent category: Business