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Secretary of State
Junk Vehicle Bill of Sale
Secretary of State
Vehicle Services Department
501 S. Second St.
Springfield, IL 62756
217-782-6306
www.cyberdriveillinois.com
This is not an Illinois Certificate of Title.
This certificate must be completed in full.
This space for use by
Secretary of State
I, current Illinois owner________________________________________________________________________________ ,
whose address is ______________________________________________________________________________________
City________________________________________________________________ Illinois ZIP Code _______________ ,
does hereby sell/give to____________________________________________________________________________________
a Year __________________________ Make ___________________________ Model ___________________________
Vehicle Identification Number______________________________________________ for the sum of $ _______________ .
I, current Illinois owner, do hereby affirm that there are no outstanding liens against the above described vehicle, that I have
legal right to sell/give such vehicle and that the Certificate of Title has been lost.
Current Illinois Owner Signature__________________________________________________________________________