Section 1 - Party Identification
ILLINOIS AS-IS VEHICLE SALE DISCLOSURE
Date of Disclosure: [[Date of Sale]]
SELLER (Dealer or Private Party)
Name / Dealership Name: [[Seller Full Legal Name or Dealership Name]]
Dealer License Number (if dealer): [[Illinois Dealer License Number - or "N/A - Private Sale"]]
Address: [[Seller Street Address]], [[Seller City]], Illinois [[Seller ZIP Code]]
Phone: [[Seller Phone Number]]
Email: [[Seller Email Address]]
BUYER
Name: [[Buyer Full Legal Name]]
Address: [[Buyer Street Address]], [[Buyer City]], [[Buyer State]] [[Buyer ZIP Code]]
Phone: [[Buyer Phone Number]]
Email: [[Buyer Email Address]]
Driver's License Number / State: [[Buyer Driver's License Number]] / [[Issuing State]]
Section 2 - Vehicle Description
| Field | Details |
|---|
| Year | [[Vehicle Year]] |
| Make | [[Vehicle Make]] |
| Model | [[Vehicle Model]] |
| Trim / Body Style | [[Vehicle Trim and Body Style]] |
| Exterior Color | [[Vehicle Exterior Color]] |
| VIN (17 Characters) | [[Vehicle Identification Number]] |
| Current Odometer Reading | [[Odometer Reading at Time of Sale]] miles |
| Title Number | [[Existing Title Number]] |
| Title-Issuing State | [[Title-Issuing State]] |
Section 3 - AS-IS Warranty Disclaimer
> AS IS - NO WARRANTY
>
> THE VEHICLE DESCRIBED IN THIS DISCLOSURE IS SOLD "AS IS." THE SELLER MAKES NO WARRANTY, EXPRESS OR IMPLIED, AS TO THE CONDITION, MERCHANTABILITY, OR FITNESS FOR ANY PARTICULAR PURPOSE OF THIS VEHICLE. THE BUYER ASSUMES FULL RESPONSIBILITY FOR THE VEHICLE AND ALL COSTS OF REPAIR OR REPLACEMENT FROM THE MOMENT OF DELIVERY.
> Implied Warranty Disclaimer: To the fullest extent permitted by Illinois law, all implied warranties - including the implied warranty of merchantability and the implied warranty of fitness for a particular purpose - are expressly and conspicuously disclaimed by this written agreement under Illinois's adoption of the Uniform Commercial Code, when made in writing in a conspicuous manner.
> FTC Buyers Guide (Dealers Only): Federal Trade Commission regulations (16 C.F.R. Part 455) require licensed dealers to display an FTC Buyers Guide on each used vehicle offered for sale. The signed FTC Buyers Guide is incorporated into this disclosure by reference and controls if any conflict exists with this document regarding warranty status.
Buyer Initials - Acknowledgment of As-Is Purchase: ______ / ______
Section 4 - Known Defects Disclosure
The seller discloses the following known material defects, conditions, or damage to the vehicle. "Known" means actually known to the seller at the time of this disclosure; this list does not represent a comprehensive inspection and the buyer is encouraged to obtain an independent pre-purchase inspection.
| # | System / Area | Description of Known Defect or Condition |
|---|
| 1 | [[System or Area - e.g., Engine]] | [[Description of Defect or Condition - or "None known to seller"]] |
| 2 | [[System or Area - e.g., Transmission]] | [[Description of Defect or Condition - or "None known to seller"]] |
| 3 | [[System or Area - e.g., Body / Paint]] | [[Description of Defect or Condition - or "None known to seller"]] |
| 4 | [[System or Area - e.g., Electrical]] | [[Description of Defect or Condition - or "None known to seller"]] |
| 5 | [[System or Area - e.g., Brakes / Suspension]] | [[Description of Defect or Condition - or "None known to seller"]] |
Additional Known Defects or Disclosures (if any):
[[Additional Defect or Disclosure Details - or "None"]]
Accident / Collision History Known to Seller:
[[Accident or Collision History - or "None known to seller"]]
Flood, Fire, or Salvage History Known to Seller:
[[Flood, Fire, or Salvage History - or "None known to seller"]]
Prior Use (e.g., rental, fleet, taxi, lease):
[[Prior Use Description - or "None known to seller"]]
Section 5 - Federal Odometer Disclosure
> Federal Odometer Act (49 U.S.C. § 32705; 49 C.F.R. Part 580): Federal law requires the seller to disclose the vehicle's mileage upon transfer of ownership. Providing a false statement may result in civil fines up to $10,000 per violation and/or criminal imprisonment.
Vehicle Identification Number (VIN): [[Vehicle Identification Number]]
Odometer Reading at Time of Transfer: [[Odometer Reading at Transfer]] miles
The seller certifies that to the best of their knowledge the odometer reading reflects:
- [ ] The actual mileage of the vehicle.
- [ ] Mileage EXCEEDS mechanical limits - The odometer is NOT the actual mileage. WARNING: Odometer has rolled over.
- [ ] Odometer reading is NOT the actual mileage - WARNING: Odometer discrepancy.
> Exemptions (49 C.F.R. § 580.17): Vehicles with a Gross Vehicle Weight Rating (GVWR) over 16,000 lbs, vehicles 20 or more model years old as of the calendar year of transfer (2021 federal rule update), new vehicles prior to first retail sale, and certain other transfers are exempt.
Seller Certification:
I, [[Seller Full Legal Name]], certify under penalty of law that the odometer reading stated above is accurate to the best of my knowledge.
Seller Signature: ___________________________ Date: [[Date of Seller Odometer Certification]]
Buyer Acknowledgment:
I, [[Buyer Full Legal Name]], have read and acknowledge the odometer disclosure above.
Buyer Signature: ___________________________ Date: [[Date of Buyer Odometer Acknowledgment]]
Section 6 - Sale Price and Payment Terms
Sale Price: $[[Agreed Sale Price]]
Payment Method:
- [ ] Cash / Certified Funds - Full amount of $[[Agreed Sale Price]] due at time of delivery.
- [ ] Personal Check - Subject to clearance. Title will not transfer until funds clear.
- [ ] Wire Transfer - Buyer to initiate wire to [[Seller Wire Transfer Instructions]].
- [ ] Other: [[Describe Payment Method]]
Deposit Paid (if any): $[[Deposit Amount - or "None"]]
Balance Due at Delivery: $[[Balance Due at Delivery]]
Section 7 - Buyer Acknowledgment and Release
By signing below, the buyer acknowledges and agrees:
- The buyer has had the opportunity to inspect the vehicle and/or arrange an independent pre-purchase inspection prior to signing this disclosure.
- The buyer is purchasing the vehicle AS IS, with full knowledge of the defects disclosed in Section 4 and any additional conditions observable upon reasonable inspection.
- The buyer releases the seller from any and all claims arising from defects, conditions, or failures of the vehicle that were disclosed in this document or that were discoverable upon reasonable inspection.
- The buyer understands that Illinois does not provide a statutory right to cancel a used-vehicle sale after execution of this disclosure and the accompanying bill of sale.
- The buyer has received (check all applicable):
- [ ] Signed copy of this As-Is Disclosure
- [ ] FTC Buyers Guide (if purchased from a dealer)
- [ ] Bill of Sale / Vehicle Purchase Agreement
- [ ] Odometer Disclosure Statement (if separate document)
- [ ] Title (signed by seller on reverse)
Section 8 - Illinois Title Transfer Notice
After execution of this disclosure, the following steps apply to complete title transfer in Illinois:
- Obtain signed title from seller. The seller must sign the title assignment section and complete the odometer disclosure on the title document if required.
- Submit to the Secretary of State vehicle services office. Bring the signed title, this disclosure, a valid government-issued photo ID, and proof of Illinois insurance to the Illinois Secretary of State (ilsos.gov).
- Pay Illinois sales/use tax. Illinois imposes a use tax reported on Form RUT-50 (Private Party Vehicle Use Tax) - a flat amount based on the vehicle's model year for purchase prices under $15,000, or tax on the actual purchase price for $15,000 and above, collected at the time of registration.
- Pay title and registration fees. The current Illinois title fee is $165.00 (subject to change); registration fees vary by vehicle class.
- Meet the transfer deadline. Illinois requires the buyer to complete the title transfer within 20 days of the sale (625 ILCS 5/3-114). Form RUT-50 and any tax due must also be filed within 30 days of the purchase date regardless of whether the title application is complete - Illinois assesses separate penalty and interest for a late RUT-50 even if the title itself is filed on time.
- Obtain new Illinois title and registration. The Secretary of State vehicle services office issues a new Illinois certificate of title and registration in the buyer's name.
> All fees and procedures are current as of June 2026. Verify current fees and requirements at tax.illinois.gov.
Section 9 - Signature Block
By signing below, both parties acknowledge they have read, understood, and agree to all terms of this Illinois As-Is Vehicle Sale Disclosure.
SELLER
Signature: ___________________________ Date: [[Date Seller Signs]]
Printed Name: [[Seller Full Legal Name]]
Title (if dealer): [[Seller Title - or "N/A"]]
Dealer License # (if applicable): [[Illinois Dealer License Number - or "N/A"]]
BUYER
Signature: ___________________________ Date: [[Date Buyer Signs]]
Printed Name: [[Buyer Full Legal Name]]
Address: [[Buyer Street Address]], [[Buyer City]], [[Buyer State]] [[Buyer ZIP Code]]
Driver's License #: [[Buyer Driver's License Number]] / [[Issuing State]]
Section 10 - Notary Acknowledgment
Notarization is not required by Illinois law for this document, but is recommended for private-party transactions to reduce dispute risk.
State of Illinois
County of [[County Name]]
On this [[Day]] day of [[Month]], [[Year]], before me personally appeared [[Seller Full Legal Name]] and [[Buyer Full Legal Name]], known to me to be the persons whose names are subscribed to the foregoing instrument, and acknowledged that they executed the same for the purposes therein contained.
Notary Public Signature: ___________________________
Notary Printed Name: [[Notary Full Name]]
My Commission Expires: [[Notary Commission Expiration Date]]
Notary Seal:
> ⚠️ Template example - not professional (legal/financial/medical) advice. This document is a general template for informational purposes only. Illinois statutes, tax rates, title fees, and agency requirements change frequently - verify all figures against current Illinois law and Illinois Secretary of State (ilsos.gov) before use. Sources verified as of June 2026: 49 U.S.C. § 32705; 49 C.F.R. Part 580; 35 ILCS 105 (RUT-50); 625 ILCS 5/3-114; Illinois Department of Revenue and Office of the Secretary of State.
