Parties and Sale Information
Date of Sale / Disclosure: [[Date of Sale]]
SELLER
Full Legal Name / Dealership: [[Seller Full Legal Name or Dealership Name]]
Address: [[Seller Street Address]], [[Seller City]], MO [[Seller ZIP]]
Phone: [[Seller Phone]]
Email: [[Seller Email]]
Missouri Dealer License (if applicable): [[MO Dealer License Number or "Private Party"]]
BUYER
Full Legal Name: [[Buyer Full Legal Name]]
Address: [[Buyer Street Address]], [[Buyer City]], [[Buyer State]] [[Buyer ZIP]]
Phone: [[Buyer Phone]]
Email: [[Buyer Email]]
Driver's License #: [[Buyer DL Number]] Issuing State: [[DL Issuing State]]
Vehicle Description
| Item | Details |
|---|
| Year | [[Vehicle Year]] |
| Make | [[Vehicle Make]] |
| Model | [[Vehicle Model]] |
| Body Style / Trim | [[Body Style or Trim]] |
| VIN | [[VIN]] |
| Current Odometer Reading | [[Odometer Reading]] miles |
| Title Number / State | [[Title Number]] / [[Title State]] |
| License Plate (if transferring) | [[License Plate Number or N/A]] |
Vehicle Condition Summary at Time of Sale: [[Brief Condition Summary or "Used vehicle sold as-is"]]
Known Defects and Condition Disclosures
Seller discloses the following known defects, damage, or conditions (check or list all that apply; attach additional pages if needed):
- [[Describe any known mechanical defects, e.g. "Transmission slips in 3rd gear" or "None known"]]
- [[Describe any body or frame damage, e.g. "Minor rear bumper dent repaired" or "None"]]
- [[Describe prior accident or flood history or "None disclosed to Seller"]]
- [[Describe any title brands (salvage, rebuilt, flood, etc.) or "Clear title expected"]]
- [[Other known issues or "No other known material defects"]]
- Odometer status (select one):
- Exceeds mechanical limits
- Not actual mileage (discrepancy)
Buyer has been given the opportunity to inspect the vehicle or have it inspected by a third party of Buyer's choice prior to signing.
As-Is Sale; Warranty Disclaimer
The vehicle is sold in "AS-IS" condition with all faults.
- Seller makes no warranties or representations regarding the condition, quality, or fitness of the vehicle except as expressly stated in this disclosure or any attached written documents.
- To the fullest extent permitted by Missouri law and the Uniform Commercial Code, Seller disclaims all implied warranties of merchantability and fitness for a particular purpose.
- Buyer acknowledges that the vehicle may require repairs and accepts full responsibility for any post-sale repairs, maintenance, or expenses.
- This "AS-IS" disclaimer is conspicuous, in bold or capital letters where appropriate, and has been reviewed by Buyer.
Buyer Initials: [[Buyer Initials]] Seller Initials: [[Seller Initials]]
Odometer Certification
Seller certifies under penalty of law that to the best of Seller's knowledge:
The odometer reading listed in the Vehicle Description section:
- Reflects the actual mileage the vehicle has traveled.
- Reflects mileage in excess of the odometer's mechanical limits.
- Is not the actual mileage (odometer discrepancy noted).
Odometer reading at time of disclosure: [[Odometer Reading]] miles.
Date odometer read: [[Odometer Read Date]]
Additional Sale Terms
- The purchase price is [[Total Purchase Price]] (see separate bill of sale or purchase agreement if used).
- Seller will deliver the signed Missouri title (or appropriate out-of-state title) and keys upon receipt of full payment.
- Buyer is responsible for all titling, registration, sales tax (Missouri rates apply; confirm with local license office), and transfer fees at the Missouri Department of Revenue license office.
- Any personal property remaining in the vehicle after delivery becomes Buyer's property unless excluded in writing.
- Risk of loss transfers to Buyer upon delivery and payment in full.
Buyer Acknowledgments
Buyer acknowledges and agrees:
- Buyer has read this entire disclosure and had the opportunity to ask questions.
- Buyer has inspected the vehicle or knowingly waived inspection.
- Buyer understands the vehicle is sold AS-IS with no implied warranties.
- Buyer has received copies of all disclosures and the odometer statement.
- Buyer will complete titling and registration in accordance with Missouri law.
Signatures
SELLER
Signature: _______________________________ Date: [[Date]]
Printed Name: [[Seller Full Legal Name or Dealership Name]]
BUYER
Signature: _______________________________ Date: [[Date]]
Printed Name: [[Buyer Full Legal Name]]
WITNESS (recommended for private sales)
Signature: _______________________________ Date: [[Date]]
Printed Name: [[Witness Name]]
Sources and Disclaimer
Prepared in accordance with federal odometer disclosure law and Missouri motor vehicle titling practices (DOR license offices). Sales tax and fees vary by county and vehicle; confirm current rates and required documents with the Missouri Department of Revenue or local license office as of June 2026. Private party sales typically require bill of sale or affidavit for tax valuation.
⚠️ Template example - not professional legal advice. This is a sample disclosure form. Parties should consult an attorney licensed in Missouri and verify all requirements with the local DOR license office before completing the sale. Use of this form does not create an attorney-client relationship.
As of: June 2026
End of Missouri As-Is Sale Disclosure
