
NOTE: Load and read the SAMPLE1A.txt copy before attempting to fill out
this Bill of Sale form. The numbers in parentheses refer to sections in
the SAMPLE1A.txt that explain how to fill in the "blanks" below. Notes
on how to use this form properly are also provided.



                              BILL OF SALE


___________________________ (1)                  UNITED STATES OF AMERICA
BY:________________________ (2)              (3) STATE OF _______________
TO:________________________ (4)              (5) COUNTY/PARISH OF _______

     BE IT KNOWN that on this ______________ (6) day of _________ (7),
199__ (8),
     BEFORE ME, __________________ (9), a Notary Public, duly commis-
sioned and qualified, in and for the County/Parish of _____________ (10),
_________________ (11), ____________________ (12), therein residing, and
in the presence of the witnesses hereinafter named and undersigned:
     PERSONALLY CAME AND APPEARED: ___________________________ (2), who
lives at _______________________________________________________ (13),
who declared that he has sold and delivered, and does by these presents,
grant, bargain, sell, assign, transfer, set over and deliver, with all
legal warranties, unto _________________________ (4), who lives at
______________________________________ (14), here present, who accepts,
all and singular and acknowledges that there has been duly delivered to
him the following described personal/movable property located in the
premises _____________________________ (15), to-wit:
_____________________________________________________ (16).
     TO HAVE AND TO HOLD the above described personal/movable property
unto the said purchaser, his heirs and assigns, forever.
     This sale is made for and in consideration of the price of
__________________ (17), which the purchaser has paid to the said
__________________ (2), who acknowledges the receipt thereof and grants
full acquitance and discharge therefor.
     And the said ________________ (2), being duly sworn declared that he
owes nothing on the above described personal/movable property, having
paid his vendor the same, has never executed a chattel mortgage thereon
to secure any debt and knows of no liens or encumbrances thereon.
     THUS DONE AND PASSED, ___________________ (18), in my office in
_____________________________ (19), on the day, month, and year herein
first above written, in the presence of _____________________ (20) and
_____________________ (20), competent witnesses, who hereunto sign their
names with the said appearers and me, Notary, after reading of the whole.

WITNESSES:

__________________________ (20)            (2) __________________________
       Witness #1                                       Buyer

__________________________ (20)            (3) __________________________
       Witness #2                                       Seller

                       __________________________
                              NOTARY PUBLIC
                      In and For _____________ (5)
                      of _____________________ (3)
              My Commission Expires: _______________ (Seal)