NON-REFUNDABLE DEPOSIT RECEIPT
I,
________________________
, received $
___________
dollars as a deposit towards the purchase of a
{Seller's Name}
{Deposit Amount}
___________________________________________
, VIN#
_____________________
.
{Year/Make/Model}
{VIN}
Vehicle referenced to be sold to the buyer for a total purchase price of $
_____________
. Buyer is to
{Total Purchase Price}
pay the balance of $
____________
by the
______
day of
________________
, 20
____
.
{Balance Due}
{Day}
{Month}
{Year}
The Buyer understands, acknowledges, and agrees that if he/she fails to pay the Seller the remaining
$
__________________
due by the above mentioned date, the Non-Refundable Deposit will be Forfeited.
{Balance Due}
The Seller hereby agrees in consideration of payment of the Non-refundable deposit to withdraw the
above referenced vehicle from the market until the above date and to transfer title of the vehicle to
the Buyer upon receipt of the remaining amount due.
_____________________________________
____________________________________
{Seller's Signature}
{Buyer's Signature}
_____________________________________
____________________________________
{Seller's Printed Name}
{Buyer's Printed Name}
_____________________________________
____________________________________
{Date}
{Date}