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Pennsylvania
County: Benton

$8,900.00 USD

Bill of Sale of Vehicle

IN CONSIDERATION OF the sum of $8,900.00 USD, plus any applicable sales taxes, paid by certified check, the receipt of which consideration is acknowledged, Ronald Borick of __________ (the 'Seller'), SELLS AND DELIVERS to Gregory Pollack of 2942 Fairmont Street Falls Church VA (the 'Purchaser'),  the following vehicle (the 'Vehicle'):

Make
Mazda

Model
Speed Miata

Year
2004

Vehicle Identification Number (VIN)
JM1NB354540405001

Odometer Reading
__________ miles

Body Type
2 Door

The Seller warrants that (1) the Seller is the legal owner of the Vehicle; (2) the Vehicle is free from all liens and encumbrances; (3) the Seller has full right and authority to sell and transfer the Vehicle; and (4) the Seller will warrant and defend the title of the Vehicle against any and all claims and demands of all persons.

The Vehicle is being sold in an 'as is' condition and the Seller expressly disclaims all warranties, whether expressed or implied, including but not limited to, any implied warranty of merchantability or fitness for a particular purpose. Further, the Seller disclaims any warranty as to the condition or working order of the Vehicle. The Seller does not assume, or authorize any other person to assume on the behalf of the Seller, any liability in connection with the sale of the Vehicle. The Seller's above disclaimer of warranties does not, in any way, affect the terms of any applicable warranties from the manufacturer of the Vehicle.

The Purchaser has been given the opportunity to inspect the Vehicle or to have it inspected and the Purchaser has accepted the Vehicle in its existing condition. This Bill of Sale will be construed in accordance with and governed by the laws of the Commonwealth of Pennsylvania.

SIGNED, SEALED, AND DELIVERED
this ______________ day of July, 2018 in the presence of:



__________________________
(Signature of Witness)

WITNESS DETAILS:
Name:    _________________________
Address: _________________________
_________________________________

   



_____________________________
Ronald Borick
(Seller)



_____________________________
Gregory Pollack
(Purchaser)

     

NOTARY ACKNOWLEDGMENT - SELLER


COMMONWEALTH OF PENNSYLVANIA

COUNTY OF ____________________

On this ______________ day of July, 2018, before me, _________________________, the undersigned officer, personally appeared Ronald Borick, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowledged that he/she executed the same for the purposes therein contained.

In witness whereof I hereunto set my hand and official seal.


________________________________
Notary Public

My commission expires: _____________


NOTARY ACKNOWLEDGMENT - PURCHASER


COMMONWEALTH OF PENNSYLVANIA

COUNTY OF ____________________

On this ______________ day of July, 2018, before me, _________________________, the undersigned officer, personally appeared Gregory Pollack, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowledged that he/she executed the same for the purposes therein contained.

In witness whereof I hereunto set my hand and official seal.


________________________________
Notary Public

My commission expires: _____________


Federal and State Law requires that the Seller state the Mileage upon transfer of ownership. Failure to complete or providing an inaccurate or untruthful statement may result in fines and/or imprisonment.

Odometer Disclosure Statement

I, Ronald Borick of __________ (the 'Seller'), STATE AND DECLARE that the following vehicle's (the 'Vehicle') odometer reads as follows:

Make
Mazda

Model
Speed Miata

Year
2004

Current Odometer Reading
__________ miles

Vehicle Identification Number (VIN)
JM1NB354540405001

Body Type
2 Door

I CERTIFY that to the best of my knowledge the odometer reading as stated above reflects the actual mileage of the Vehicle.  I CERTIFY that the odometer of the Vehicle was not altered, set back, or disconnected while in my possession, and I have no knowledge of anyone else doing so.

SIGNED, SEALED, AND DELIVERED
this ______________ day of July, 2018 in the presence of:



__________________________
(Signature of Witness)

WITNESS DETAILS:
Name:    _________________________
Address: _________________________
_________________________________

   

___________________________
Seller: Ronald Borick
Address: __________

     

NOTARY ACKNOWLEDGMENT - ODOMETER STATEMENT


COMMONWEALTH OF PENNSYLVANIA

COUNTY OF ____________________

On this ______________ day of July, 2018, before me, _________________________, the undersigned officer, personally appeared Ronald Borick, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowledged that he/she executed the same for the purposes therein contained.

In witness whereof I hereunto set my hand and official seal.


________________________________
Notary Public

My commission expires: _____________

Receipt of original copy
is hereby acknowledged by
Gregory Pollack.

   

___________________________
Purchaser: Gregory Pollack
Address: 2942 Fairmont Street Falls Church VA

     

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