BILL OF SALE SECTION 1 Vehicle Information Year   Make   Model or Series   Style   Vehicle Identification Number (VIN) Serial Number   Body Color   Roof Color   Odometer Reading   This vehicle was sold for the sum of: _____________________________________________________________________Dollars, $_____________________                                                                       Sum written in full Seller(s) Information   Name:_____________________________________________________________________________________________________________________________                                                 Last                                                                                 First                                                                                 Second   Address:___________________________________________________________________________________________________________________________                                                 Apt   __________________________________________________________________________________________________________________________________                                                 City / Town                                                                  State / Province                                                                  Zip / Postal Code   Telephone Number:   (           )__________________________________________________________________________________________________________   Personal Identification:  (show two types of identification, e.g. Operator's License)   1. __________________________________________________________  2. __________________________________________________________________ Buyer(s) Information   Name:_____________________________________________________________________________________________________________________________                                                 Last                                                                                 First                                                                                 Second   Address:___________________________________________________________________________________________________________________________                                                 Apt   __________________________________________________________________________________________________________________________________                                                 City / Town                                                                   State / Province                                                                  Zip / Postal Code   Telephone Number:   (           )___________________________________________________________________________________________________________   Personal Identification:  (show two types of identification, e.g. Operator's License)   1. __________________________________________________________  2. __________________________________________________________________

SECTION 2 Dated at:__________________________________________________________________________________________________________________________   On:_____________________________________________________________________________________________________ , 20______________________   I certify that all information shown above is true to the best of my knowledge.   _________________________________________________________________________________________________________________________________                                            Signature of Buyer                                                                                                                             Signature of Seller   _________________________________________________________________________________________________________________________________                                            Signature of Buyer                                                                                                                             Signature of Seller

SECTION 3 - Special Condition Of The Sale     1: The vehicle described on this form is:(Check the appropriate box or boxes)          a: Free of all liens and encumbrances:Yes No                If No, please give names of lien holders:____________________________________________________________________________________          b: Paid in full:Yes No          c: Paid by:Cash Cheque Bank Draft Other (please specify):________________________________________________________________       2: Payment Terms:______________________________________________________________________________________________________________       3: Vehicle was last registered / licensed in:____________________________________________________________________________________________       4: Special conditions of sale (if any):_________________________________________________________________________________________________

This form is supplied by "teambuick" as a courtesy. To ensure it meets local legal requirements it should be checked by a qualified local legal advisor. No liability attaches itself to "teambuick" as a result of using this form. Any dispute arising from the sale becomes a matter among the parties named in this document.