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• Vehicle Transfer Form

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• Sale/Transfer Date*
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• Vehicle Information

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• Vehicle Make, Model, Year*
• VIN (Vehicle Identification Number)*
• License Plate Number*
• Body Type*
• Odometer Reading*
• Is this the actual mileage?*

  Yes No
• If not the actual mileage, please explain:*
• Is this vehicle transfer a sale or gift?*

  Sale Gift
• Sale Price*
• Gift Value*
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• Transferor Information

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• Transferor Name Last, First*
• Address*

  Street Address 1

  Street Address 2

  City

  State/Province/Region

  Postal/Zip Code

  Country
• Phone*

  --
• Email*
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• Transferee Information

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• Transferee Name Last, First*
• Address*

  Street Address 1

  Street Address 2

  City

  State/Province/Region

  Postal/Zip Code

  Country
• Phone*

  --
• Email*
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• Transferor Signature*
• Date*
• Transferee Signature*
• Date*
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• Notary Signature*
• Notary Seal*
• Date Notarized*
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