VEHICLE PRICE CERTIFICATION (Bill of Sale) Purpose: Instructions: SUT 1 (05/05/2011) This form is used by individuals (not motor vehicle dealers) to certify the purchase price of a motor vehicle more than 5 years old in order to obtain a vehicle title. Seller or Purchaser completes Vehicle Information section and signs the appropriate Certification section. VEHICLE INFORMATION VEHICLE IDENTIFICATION NUMBER (VIN) YEAR (more than 5 years) MAKE MODEL BODY TYPE COLOR SALE DATE SELLER CERTIFICATION In accordance with all applicable statutes, administrative rules and regulations, I certify that the selling price of the above-described motor vehicle was $ ______________, which included all accessories and/or attachments with no trade-in allowance or any other transaction. I further certify and affirm that all information presented in this form is true and correct, that any documents I have presented to DMV are genuine, and that the information included in all supporting documentation is true and accurate. I make this certification and affirmation under penalty of perjury and I understand that knowingly making a false statement or representation on this form is a criminal violation. SELLER NAME (print) SELLER SIGNATURE DATE (mm/dd/yyyy) PURCHASER CERTIFICATION In accordance with all applicable statutes, administrative rules and regulations, I certify that the purchase price of the above-described motor vehicle was $ ______________, which included all accessories and/or attachments with no trade-in allowance or any other transaction. I further certify and affirm that all information presented in this form is true and correct, that any documents I have presented to DMV are genuine, and that the information included in all supporting documentation is true and accurate. I make this certification and affirmation under penalty of perjury and I understand that knowingly making a false statement or representation on this form is a criminal violation. PURCHASER NAME (print) PURCHASER SIGNATURE DATE (mm/dd/yyyy) American LegalNet, Inc. www.FormsWorkFlow.com