Notarized Bill of Sale Form

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NOTARIZED BILL OF SALE

In Consideration of the sum of $____________________ (US Dollars) paid by


___________________________________ with a mailing address of
___________________________________ (Hereinafter known as the “Buyer”) to
___________________________________ with a mailing address of
___________________________________ (Hereinafter known as the “Seller”) conveys the
following described: ___________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
(Hereinafter known as the “Property”). The Property is to be sold free and clear of any liens,
encumbrances, or mortgages. Seller certifies to be the legal and true owner of the Property
and is to be sold in “as-is” condition.

IN WITNESS WHEREOF, the buyer and seller agree to the terms of this Bill of Sale on the
____ day of ___________________, 20___.

Buyer’s Signature ________________ Print _______________ Date ___________

Seller’s Signature ________________ Print _______________ Date ___________

State of ___________________

County of ___________________

CERTIFICATE OF ACKNOWLEDGMENT

On the ___ day of ________________, 20___ before me, ___________________, personally

appeared, ___________________, ___________________, proved to me on the basis of


satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within
instrument and acknowledged to me that he/she/they executed the same in his/her/their
authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s)
or the entity upon behalf of which the person(s) acted, executed the instrument.
WITNESS my hand and official seal,

____________________
(Notary Signature)

____________________ My Commission Expires: ___________________


(Print Name)
(seal)

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