Download Illinois Junk Vehicle Bill of Sale for Free

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Secretary of State

Junk Vehicle Bill of Sale

Secretary of State

Vehicle Services Department

501 S. Second St.

Springfield, IL 62756

217-782-6306

www.cyberdriveillinois.com

This is not an Illinois Certificate of Title.

This certificate must be completed in full.

This space for use by

Secretary of State

I, current Illinois owner ________________________________________________________________________________ ,

whose address is ______________________________________________________________________________________

City ________________________________________________________________ Illinois ZIP Code _______________ ,

does hereby sell/give to ____________________________________________________________________________________

a Year __________________________ Make ___________________________ Model ___________________________

Vehicle Identification Number ______________________________________________ for the sum of $ _______________ .

I, current Illinois owner, do hereby affirm that there are no outstanding liens against the above described vehicle, that I have

legal right to sell/give such vehicle and that the Certificate of Title has been lost.

Current Illinois Owner Signature __________________________________________________________________________

Purchaser Signature ____________________________________________________________________________________

Date______________________________________________________________________________________________

Note: This form is only to be used with a Certificate of Final Disposition and only a Junking Certificate will be issued.

Printed by authority of the State of Illinois. May 2005 — 3500 — VSD 658

Illinois Junk Vehicle Bill of Sale

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