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Purchase Order 754087

This bill of sale documents the transfer of ownership of a 2001 Saturn Sedan from Ideal Auto of USA, Inc. to Kevin G. Rachner and Glenn R. Rachner. The vehicle identification number is listed as 1G8JU52F41Y507746. The odometer reading at the time of sale on June 20, 2012 was 85,866 miles. The total sale price of $3,300 includes a $500 discount and fees of $161.08 for processing and $194 for license tax, resulting in a total amount due of $3,397.08. Both parties signed to certify the transaction.

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Elmer Harris
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503 views1 page

Purchase Order 754087

This bill of sale documents the transfer of ownership of a 2001 Saturn Sedan from Ideal Auto of USA, Inc. to Kevin G. Rachner and Glenn R. Rachner. The vehicle identification number is listed as 1G8JU52F41Y507746. The odometer reading at the time of sale on June 20, 2012 was 85,866 miles. The total sale price of $3,300 includes a $500 discount and fees of $161.08 for processing and $194 for license tax, resulting in a total amount due of $3,397.08. Both parties signed to certify the transaction.

Uploaded by

Elmer Harris
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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BILL OF SALE

FOR A MOTOR VEHICLE, MOBILE HOME, OFF-HIGHWAY VEHICLE OR VESSEL


MOTOR VEHICLE, MOBILE HOME, OFF-HIGHWAY VEHICLE OR VESSEL DESCRIPTION
Year 2001 Make/Manufacturer Saturn Body Type Sedan Model L Series Color GOLD

Certificate of Title Number

Vehicle/Vessel Identification Number 1G8JU52F41Y507746

I/we do hereby sell or have sold and delivered the above described vehicle or vessel to:
Print Name(s) of Purchaser(s) KEVIN G RACHNER and GLENN R RACHNER Address 15704 115th AVE Date of Sale 06/20/2012 Trade In Year/Make/Model City ORLAND PARK Salesperson ELMER HARRIS Trade In Mileage Trade In VIN DL State IL State IL DL Number R256-5078-8192 Zip Code 60467 Selling Price $3,300.00 Trade In Allowance

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 0 8 5 8 6 6 .XX (no tenths) miles, date read: ____/____/______, and we hereby certify that to the best of our knowledge the odometer reading: 6 20 2012 ..... 1. REFLECTS THE ACTUAL MILEAGE. 2. IS IN EXCESS OF ITS MECHANICAL LIMITS. 3. IS NOT THE ACTUAL MILEAGE. Affidavit (when applicable):

COSTS AND DISCOUNTS


Type Purchase Price Processing Fees License Tax Payment Total Amount $3,300.00 $161.08 $194.00 $242.00 -$500.00 $3,397.08 Note

CERTIFICATION
Under penalty of perjury, I declare that I have read this document and that the facts stated in it are true.
Seller's Address 14600 S, Archer Ave Seller's Signature City Lockport Seller's Printed Name Ideal Auto Of USA, Inc Purchaser's Printed Name KEVIN G RACHNER Co-purchaser's Printed Name (when applicable) GLENN R RACHNER State IL Zip Code 60441 Date 6/20/2012 Date 6/20/2012 Date 6/20/2012

Purchaser's Signature

Co-purchaser's Signature (when applicable)

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