BILL OF SALE

KNOW ALL MEN BY THESE PRESENTS:

That in consideration of ______Dollars ($ ______) and other valuable consideration, the receipt whereof is hereby acknowledged, the undersigned (seller) does hereby sell, transfer and deliver unto ______(buyer), his right, title and interest in and to the following described vehicle:

License Plate No. ______Vehicle Identification No. ______

Make and Model Year ______Body Type ______

The said seller hereby warrants that he is the lawful owner of said vehicle; that it is free from all liens and encumbrances except *lien in favor of ______NAME *If no lienholder shown, transfer will be processed ______without recording lien. ADDRESS CITY STATE ZIP CODE Federal and state laws require that you state the mileage in connection with the transfer of ownership. Failure to complete or providing a false statement may result in fines and/or imprisonment.

I certify that the odometer now reads ______(no tenths) and to the best of my knowledge that it reflects the actual mileage unless one of the following statements is checked: o (1) The odometer reading reflects that amount of mileage in excess of its mechanical limits. o (2) The odometer reading is NOT the actual mileage. WARNING: ODOMETER DISCREPANCY. Signed this ______day of ______, 20 ____

______Signature of Seller ______Printed Name of Seller ______Signature of Seller ______Printed Name of Seller ______Address ______City State Zip Code

Subscribed and sworn before me this ______day NOTARY CERTIFICATION: of ______,20 _____ . (Hawaii Administrative Rules §5-11-8) Document Date: ______No. Pages: ______Document Description: ______Notary Public

State of Hawaii, ______Judicial Circuit Notary Printed Name Circuit My commission expires: ______Notary Signature Date

(Stamp or Seal) (Stamp or Seal)

CS-L(MVR)40 (Rev. 9/10)