Seller's Signature:
Buyer's Signature:
Date:
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Mobile Home Bill of Sale Form
______________________________________________, (Hereinafter referred to as 'Seller')
with a mailing address of ______________________________________________________
for and in consideration of $____________________ (US Dollars), cash in hand paid does
hereby sell and transfer to:
______________________________________________, (Hereinafter referred to as “Buyer”)
with a mailing address of ______________________________________________________
conveys the following described mobile home:
Manufacturer:____________________ Model:_______________________________
Serial Number:_______________________________ Size:____________________
Year (Manufactured):______ Location of Home: _____________________________
The Mobile Home is to be sold free and clear of any liens, encumbrances, or mortgages. The
Seller certifies to be the genuine owner of The Mobile Home and said Mobile Home is to be
sold in “as-is” condition.
In the county of _______________________ on ____________________ before me,
_________________________________________________________, personally appeared
______________________________________________________________,
who 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. I certify under PENALTY OF PERJURY under the laws of the state of licensure
that the foregoing paragraph is true and correct.WITNESS my hand and official seal.
2IILFLDO6HDO:
Commission Expiration Date:
