BICYCLE & E-BIKE SALE RECEIPT ================================================================ Effective Date: ________________________________________________________ Place: _________________________________________________________________ ================================================================ 1. Parties to the Agreement --------------------------- This Agreement is entered into on ____________________ (____________________) by and between: Seller Individual Full Legal Name: _______________________________________________________ SSN / ID: ______________________________________________________________ Doc Series: ____________________________________________________________ Address: _______________________________________________________________ _______________________________________________________________ Buyer Individual Full Legal Name: _______________________________________________________ SSN / ID: ______________________________________________________________ Doc Series: ____________________________________________________________ Address: _______________________________________________________________ _______________________________________________________________ 2. SUBJECT-MATTER SCHEDULE & SPECIFICATIONS ------------------------------------------- Brand & Model: _________________________________________________________ Frame Serial Number: ___________________________________________________ Condition & Included Accessories: ____________________________________________________________________ Agreed Price: __________________________________________________________ 3. EXECUTION & SIGNATURES ------------------------- Seller Signature: _____________________________________________________________ Full Legal Name: _______________________________________________________ Date: __________________________________________________________________ Buyer Signature: _____________________________________________________________ Full Legal Name: _______________________________________________________ Date: __________________________________________________________________