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BILL OF SALE

VEHICLE OR WATERCRAFT INFORMATION

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SALE INFORMATION

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I do hereby sell, transfer and covey all rights for the above vehicle/watercraft to the purchaser In consideration of the sale payment amount. I certify that the vehicle/watercraft is not subject to any liens that are the responsibility of the seller.

I swear or affirm that the information I have entered on this form is correct. I understand that making a false statement may constitute the crime of perjury.

SELLER INFORMATION

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I swear or affirm that the information entered on this form is correct, I understand that making a false statement may constitute the crime of perjury.

PURCHASER INFORMATION

Crossroads Auto Recycling

8866 N CO RD 200 E

Frankfort, IN 46041

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