Bill of Sale Vortex 203 VRX

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BOAT BILL OF SALE

1. LOCATION OF SALE.

This bill of sale was created on the ____


18 December
day of ________________, 23
20____ in the
Mohave Arizona
County of _________________________, State of _________________________.

2. THE PARTIES.

Buyer’s Name: _________________________


Nicole Daniels with a mailing address of
_________________________ ("Buyer").
1441 N Benton Way Los Angeles, CA 90026

Seller’s Name: _________________________


Robert Smith with a mailing address of
_________________________ ("Seller").
3009 Tomahawk Drive. Lake Havasu City, AZ 86406

The Buyer and Seller hereby agree as follows:

3. THE EXCHANGE. (check one)

☐ - Cash Payment. The Buyer agrees to pay $_______________


50,000 (US Dollars)
to the Seller.

☐ - Trade-in. The Buyer agrees to pay $_______________ (US Dollars) and trade-
in their boat described as (trade-in boat):
Make: __________ Year: __________ Title Number: ________________
Hull ID Number: ______________________ Odometer: ________________ (hours)

☐ - Gift. The Seller is giving the boat as a gift to the Buyer. The value of the boat is
$_______________ (US Dollars).

The above-checked selection is in exchange for the possession and ownership of the
Boat described in Section 4.

4. THE BOAT. (check all that apply)

☐ - Boat. Make: __________


Chaparral 2020
Year: ______ AZ 2767 DA
Title #: ________________
FGBU1205P820
Hull ID #: ______________________ 100
Odometer: ________________ (hours)
☐ - Trailer. Make: __________ Year: ______ VIN #: ______________________
License Plate #: ______________
☐ - Motor. Make: __________
Rotax 2020
Year: ______ 250
HP: ______ B9975650
Serial #: __________
☐ - Motor. Make: __________ Year: ______ HP: ______ Serial #: __________

Hereinafter known as the “Boat.”


5. PURCHASE PRICE. The Buyer shall purchase for the agreed-upon value(s): (check
all that apply)

☐ - Boat: $______________
50,000

☐ - Motor(s): $______________
☐ - Trailer: $______________
Total: $______________
50,000

Hereinafter known as the “Purchase Price.”

6. SALES TAXES. Taxes on the Boat are: (check one)

☐ - Included in the Purchase Price. All municipal, county, and State taxes in relation
to the purchase of the boat, including sales taxes, are included in the purchase
price.

☐ - NOT included in the Purchase Price. All municipal, county, and State taxes in
relation to the purchase of the boat, including sales taxes, are NOT included in the
purchase price.

7. BUYER AND SELLER CONDITIONS.

The undersigned Seller affirms that the above information about the boat is accurate to
the best of their knowledge. The undersigned Buyer accepts receipt of this bill of sale
and understands that the above boat is sold on an “as is, where is” condition with no
guarantees or warranties, either expressed or implied.

8. AUTHORIZATION.

Buyer Signature: ________________________________ Date: _________________


12/18/2023

Print Name: ________________________________


Nicole Daniels

Seller Signature: ________________________________ Date: _________________


12/18/2023

Print Name: ________________________________


Robert Smith
NOTARY ACKNOWLEDGMENT
A notary public or other officer completing this certificate verifies only the identity of the
individual who signed the document to which this certificate is attached, and not the
truthfulness, accuracy, or validity of that document.

State of ______________,
County of ______________,

On ______________, 20____, before me, ____________________________ (insert


name and title of the officer), personally appeared ____________________________,
who proved to me on the basis of satisfactory evidence to be the person(s) whose
name(s) is/are subscribed to the within instrument and acknowledged to me that
he/she/they executed the same in his/her/their authorized capacity(ies), and that by
his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of
which the person(s) acted, executed the instrument.

I certify under PENALTY OF PERJURY under the laws of the State of ______________
that the foregoing paragraph is true and correct.

WITNESS my hand and official seal.

Signature ____________________________

(Seal)

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