Name(s) (Last, First, Second) Address Street City / Town Province / State Postal Code / Zip Code VEHICLE INFORMATION Body Color Roof Color Odometer Reading SECTION 2 SECTION 1 Name(s) (Last, First, Second) Address Street City / Town Province / State Postal Code / Zip Code SELLER(S) INFORMATION Personal Identification: (Show two types of identification, e.g. Operator's Licence) Bill of Sale PLEASE PRINT CLEARLY 2. 1. • Sections 1 and 2 must be completed in order to make this Bill of Sale acceptable for vehicle registration. Completion of section 3, on the back of this form, is optional. • Two copies of this Bill of Sale should be completed. The buyer keeps the original and the seller keeps the copy. REG3126 (2005/12) Make Vehicle Identification Number (VIN) / Serial Number Year Model or Series Style This vehicle was sold for the sum of: (Subject to the terms and special conditions which appear in Section 3 on the back of this form) Dollars $ (Sum written in full) BUYER(S) INFORMATION Telephone Number ( ) Telephone Number ( ) Signature of Witness Signature of Witness Dated at: on . I certify that all information shown above is true to the best of my knowledge. City / Town Province / State Country Signature of Seller Signature of Buyer Signature of Seller Signature of Buyer 1. The vehicle described on the front of this form is: Check the appropriate box(es) a) Free of all liens and encumbrances: b) Being paid for in full: c) Being paid by: 2. Payment Terms: 3. Vehicle was last registered in: 4. Special conditions of sale (if any): • The law in the Province of Alberta requires a vehicle to be insured prior to registration. Documentary proof of vehicle insurance is required. • A vehicle entering Alberta from another jurisdiction requires a safety inspection. Information can be obtained from a Registry Agent. A listing of local Registry Agents can be found in the telephone directory under Licence and Registry Services; or visit Alberta Government Services' website at www.gov.ab.ca/gs for comprehensive registries and consumer information and services. • In addition to the Bill of Sale, other identification is required to obtain Alberta registration. Where possible, obtain Section 2 of the previous Alberta vehicle registration certificate. • The prospective purchaser can determine whether a vehicle is free of liens and encumbrances in Alberta by contacting a Registry Agent. In order to perform a search, a Registry Agent will require the vehicle identification number (VIN) / serial number of the vehicle. A request for a search can be made in person or in writing. There is a fee for this service. • A Vehicle Information Report is available from a Registry Agent. There is a fee for this service. • The buyer must produce a copy of a properly completed Bill of Sale, that includes the same information as shown on this standardized form, in order to register and licence a vehicle in Alberta. This form is provided as a courtesy by Alberta Registries to ensure that sufficient information is contained within the Bill of Sale to permit licensing and registration of the described vehicle by the new owner. No liability attaches to the Crown through the use of this document in respect of the sale of this vehicle. Any dispute arising from the sale becomes a civil matter among the parties named in this document. SECTION 3 (OPTIONAL) SPECIAL CONDITIONS OF SALE Province / State Country Cash Cheque Money Order Other (please specify): If No, please give names of lien holders: Yes No Yes No REG3126 (2005/12)