Kansas Bill of Sale
This bill of sale was created on the ____ day of ________________ in the County
of ________________, State of Kansas.

Buyer Name _______________________________________

Mailing address ____________________________City____________________

State_____________________Zip code___________

Phone Number________________________________

Seller Name ________________________________________

Mailing address ____________________________City____________________

State__________________________Zip code___________

Phone Number________________________________  hereby agree as follows:

___________________________________________________________________

___________________________________________________________________

___________________________________________________________________

The Buyer agrees to pay $_______________ (US Dollars)

described as:______________________________________________________

Make: _____________ Model: _____________ Body-Type: ____________

Year: _____________ Color: _____________ Odometer: _____________ Miles

Identification Number (VIN or serial number): ____________________________

Signature of buyer__________________________________Date_______________

Signature of Seller__________________________________Date_______________