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Purchase Agreement

Once submitted you will transferred to a page for your legal signature.

"*" indicates required fields

Vehicle Information

Year

Make

Model

VIN

Mileage

Color

Is there any type of lien or encumbrance against the vehicle listed above?*

No

Yes

(Seller please check one)

Outstanding Taxes or Fees*

No taxes, fees or penalties are outstanding against this vehicle

There are outstanding taxes, fees or penalties against this vehicle

Seller Contact Information

Name*

First Last

Date

MM slash DD slash YYYY

Phone*

Email*

Address

Street Address City State ZIP Code

Vehicle Title

Vehicle Titles In My Name ONLY

Vehicle Titled In Multiple Names

Co-Seller Contact Information

Co-Seller Name*

First Last

Date

MM slash DD slash YYYY

Co-Seller Phone*

Co-Seller Email*

Co-Seller Address

Street Address City State ZIP Code

ID Verification - Drivers License #

State Issued

Sale Information

Sale Price

10 Day Payoff

Difference (Sale Price-Payoff)

Title Hold Back (if applicable)

Paid upon receipt of title and/or lien release by Cash 4 Motorcycles

Cash Due Prior To Pick Up (or paid at delivery if you are delivering to us)

Delivery - Check One

You will deliver Vehicle to Us

We will arrange transportation of the Vehicle to Us

For Vehicle With Liens Please Fill Out Below

10 Day Payoff Amount

Good Through-Date

MM slash DD slash YYYY

Account Number

Financial Institution

Phone

Address

Street Address or PO Box City State ZIP Code

Signatures

I (seller) agree to sell the vehicle listed above to Cash 4 Motorcycles and transfer all interest in this vehicle to Cash 4 Motorcycles. By signing below I acknowledge receipt of a copy of this agreement. This agreement shall not become binding until accepted by Cash 4 Motorcycles.

By entering into this agreement seller authorizes the financial institution above to discuss this account with Cash 4 Motorcycles and to forward the title and/or lien release to:

Cash 4 Motorcycles
PO Box 520
Sylvania, OH 43560

TERMS & CONDITIONS*

I have read and understand the terms and conditions

Seller Signature

Date

MM slash DD slash YYYY

TERMS & CONDITIONS

I have read and understand the terms and conditions

Co-Seller Signature

Date

MM slash DD slash YYYY