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 register