Parties and Sale Information
Date of Sale / Disclosure: [[Date of Sale]]
SELLER
Full Legal Name / Dealership: [[Seller Full Legal Name or Dealership]]
Address: [[Seller Street Address]], [[Seller City]], NE [[Seller ZIP]]
Phone: [[Seller Phone]] Email: [[Seller Email]]
Nebraska Dealer License (if applicable): [[NE Dealer License 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]]
DL / ID: [[Buyer DL Number]] State: [[DL State]]
Vehicle Description
| Item | Details |
|---|
| Year | [[Vehicle Year]] |
| Make | [[Vehicle Make]] |
| Model | [[Vehicle Model]] |
| Body / Trim | [[Body Style / Trim]] |
| VIN | [[VIN]] |
| Odometer | [[Odometer Reading]] miles |
| Title # / State | [[Title Number]] / [[Title State]] |
Known Defects and Disclosures
Seller discloses all known defects, damage history, and conditions (attach pages if needed):
- Mechanical defects or needed repairs: [[Mechanical Issues or "None known"]]
- Body, paint, frame, or collision history: [[Body/Collision or "None"]]
- Flood, water damage, or fire: [[Water/Fire or "None"]]
- Title brands (salvage, rebuilt, lemon, etc.): [[Title Brand or "None"]]
- Other material facts affecting value or safety: [[Other Disclosures or "None"]]
Buyer has had the opportunity to inspect the vehicle personally or through a mechanic.
As-Is Sale and Warranty Disclaimer
The vehicle is sold strictly "AS-IS" and "WITH ALL FAULTS."
- Seller disclaims all express and implied warranties including merchantability and fitness for a particular purpose to the maximum extent permitted by Nebraska law.
- Buyer acknowledges inspection or waiver of inspection.
- Buyer accepts the vehicle in its present condition with no recourse for condition-related issues after delivery except fraud or express written warranty.
- This disclaimer is conspicuous and agreed by Buyer.
Buyer Initials: [[Buyer Initials]]
Odometer Certification
Seller certifies to the best of Seller's knowledge:
The odometer reading above:
- Reflects actual mileage the vehicle has been driven.
- Reflects mileage in excess of its mechanical limits.
- Is not the actual mileage (discrepancy).
Date read: [[Odometer Read Date]]
Sale Terms
- Purchase price and payment per separate bill of sale or purchase agreement.
- Seller delivers signed title and keys upon full payment.
- Buyer is responsible for all Nebraska titling, registration, sales tax (if applicable), and fees at the county DMV or treasurer.
- Risk of loss passes upon delivery and payment.
Buyer Acknowledgments
- Buyer has read the full disclosure.
- Buyer inspected or waived.
- Buyer accepts AS-IS with disclaimers.
- Buyer understands responsibility for titling and taxes.
- Buyer received copies of all documents.
Signatures
SELLER
Signature: _______________________________ Date: [[Date]]
Printed Name: [[Seller Full Legal Name or Dealership]]
BUYER
Signature: _______________________________ Date: [[Date]]
Printed Name: [[Buyer Full Legal Name]]
WITNESS (recommended)
Signature: _______________________________ Date: [[Date]]
Printed Name: [[Witness Name]]
Sources and Disclaimer
Prepared following federal odometer requirements and Nebraska motor vehicle titling practices. Sales tax, title fees, and procedures vary by county; verify with Nebraska DMV or county treasurer as of June 2026.
⚠️ Template example - not professional legal advice. This is a sample form. Parties should consult an attorney licensed in Nebraska and verify all current requirements with the county DMV office before sale. Use does not create an attorney-client relationship.
As of: June 2026
End of Nebraska As-Is Sale Disclosure
- Complete all fields legibly before signing.
- Attach additional defect pages if needed.
- Both parties keep signed copies.
- Register vehicle promptly per Nebraska rules.
- Confirm current fees and tax rates locally.
- Disclose any known odometer issues separately.
- Coordinate with bill of sale for price documentation.
- Perform title search for liens if concerned.
- Provide inspection opportunity in writing.
- Retain records for tax and dispute protection.
