1

Download as pdf or txt
Download as pdf or txt
You are on page 1of 2

TITLE TRANSFER

Bill of Sale
Clear
38-1306 R04/20 azdot.gov

Buyer must title the vehicle in their name within 15 days.


Vehicle Identification Number* Year* Make* Model*
2G1WF5E37C1256369 2012 Chevy Impala
Current Owner Name (first, middle, last, suffix)* Legal Status (If Applicable)
Benjamin J. Thomas  Or  And  And/Or
Current Owner Name (If Applicable: first, middle, last, suffix)
If there are additional owners, use an additional form.

Arizona Brand (if no brand write NONE)* Current Lienholder (if no lien, write NONE)*
None None
Seller must list any Arizona Brands and liens associated with this vehicle.
To verify Arizona Brands and possible liens associated with this vehicle: please visit: azmvdnow.gov and use the Title
Viewer Service to verify.

Sale Date* Sale Payment Amount


09/01/2024 $ 550.00
New Lienholder Name (if no lien, write NONE) New Lienholder Driver License or EIN Lien Date
None
New Lienholder Street Address

Buyer Name (first, middle, last, suffix) Driver License Number Date of Birth
Theresa N. Ramirez D08213528 09/28/1979
Mailing Address City State Zip
333 S. Ewing Trl Tonto Basin Az 85533

I am aware of the below odometer certification made by the seller.


Buyer Name (printed)* Buyer Signature*
Theresa N Ramirez

Federal and State law require that the transferor/seller states the mileage upon transfer of ownership. Providing a false
statement may result in fines and/or imprisonment.

Odometer Reading (no tenths)*  Mileage in excess of the odometer mechanical limits.
200,000  miles  kilometers  NOT Actual Mileage, WARNING – ODOMETER DISCREPANCY.

I certify to the best of my knowledge that the odometer reading is the actual mileage unless one of the boxes above is checked.

I do hereby sell and transfer ownership of the vehicle above to the Buyer in consideration of Sale Payment Amount.
Seller Name/Company Representative* Driver License Number/Dealer Number/EIN*
Benjamin J. Thomas
Mailing Address* City* State* Zip*
10609 w. Poinsettia Dr Avondale Az 85392
Signature of Seller/Company Representative *

See back for signature requirements for multiple owners.

Seller Name/Company Representative Driver License Number/Dealer Number/EIN


Benjamin J. Thomas
Signature of Seller/Company Representative

Notary or MVD Agent Signature*


Acknowledged before me this date.

Date* County* State* Commission Expires*


*Denotes required fields

Void if altered or erased Sequential Bills of Sale will not be accepted


Legal Status
When ownership of the vehicle is in more than one name, the Legal Status (“OR”, “AND”, “AND/OR”) box
determines which signatures will be required to transfer ownership of the vehicle, license plates and/or fees, to
apply for a refund, or to record loan information.

Legal
Description
Status
OR Ownership is joint tenancy, with an expressed intent that either of the owners has full authority to
transfer ownership, license plates and/or fees, or to record loan information.
Example: JOHN DOE OR JOE ROSS
Signatures Needed:
• When selling a vehicle, the signature of either party will be accepted. Both signatures are not
required.
• When applying for a certificate or title, the signatures of both parties will be required and both parties
must sign the Legal Status boxes on the Title and Registration Application.
In the event of the death of either party, only the surviving owner can transfer the vehicle to another
individual or entity. A death certificate is not needed, and a Non-Probate Affidavit is not acceptable to
transfer the deceased owner’s interest in the vehicle when there is a surviving owner.

AND Ownership is tenancy in common.


Example: JOHN DOE AND JOHN ROSS
Signatures Needed:
• When selling a vehicle, the signatures of both parties will be required.
• When applying for a certificate of title, the signatures of both parties will be required.
In the event of the drath of either party, the interest of the deceased party must be handled by probate
action, or by completing a Non-Probate Affidavit.

AND/OR Ownership is joint tenancy with right of survivorship.


Example: JOHN DOE AND/OR JOE ROSS
Signatures Needed:
• When selling the vehicle, the signatures of both parties will be required.
• When applying for a certificate of title, the signatures of both parties will be required.
In the event of death of either party, the survivor will need to provide a death certificate for the deceased
owner and then may sign alone when selling the vehicle or when applying for a certificate of title in the
surviving owner’s name.

Void if altered or erased Sequential Bills of Sale will not be accepted

You might also like