Know all men by these presents: That A. B., of the --------- County of

---------, State of ---------, the Grantor -, for the consideration of --------- dollars

($---------), paid by C. D., of the ---------County of ---------. State of ---------, the

Grantee -, the receipt of which is hereby acknowledged, does hereby grant, bargain, sell, transfer and deliver unto the Grantee - the following described used motor vehicle:

Manufacturer or Maker,---------; Manufacturer's Number,---------; Engine or

Motor Number, ---------; Other Numbers, ---------; Horse Power, ---------; Description of Body, ---------; Other number or marks of identification thereon or on appliances attached thereto, ---------.

Original Or First Purchaser From The Manufacturer Or Importer Or The Direct Agent Of Either

Name, ---------; Residence, ---------; Occupation, ---------; Place of business or employment, ---------; Name of employer (if any), ---------.

Subsequent Purchasers Or Owners

Name, ---------; Residence, ---------; Occupation, ---------; Place of business or employment, ---------; Name of employer (if any), ---------.

Name,----------; Residence, ---------; Occupation, ---------; Place of business or employment, ---------; Name of employer (if any), ---------.

Name, ---------; Residence, ---------; Occupation, ---------; Place of business or employment, ---------; Name of employer (if any), ---------.

Grantor's Title: How acquired, ---------; Date, ---------, 19-; Place, ---------;

Changes and alterations in finish, design or appearance made within knowledge of Grantor --------------.

(If an imported vehicle, the following must be filled in:)

Importer, ---------; City and Country of Manufacture, ---------; Port of Exportation, ---------; Port of Importation, ---------.

To have and to hold the same unto the said Grantee - and - h - executors, administrators and assigns, forever.

And the said Grantor - hereby covenant - to and with the said Grantee that said Grantor - --------- the lawful owner - of the above described used motor vehicle; that the same is free from all incumbrances whatsoever, except

---------; that said Grantor - ha - good right to sell the same as aforesaid; and that said Grantor - will warrant and defend the same against all lawful claims and demands whatsoever, except ---------.

In witness whereof, etc.

See references under Sec. 3913.

This form is in substantial compliance with certain recent statutes: which also require affidavit of vendor, filing, etc. See references under { 3913.