The undersigned Seller, for and in acknowledgment of payment of $ ____________ by the undersigned Buyer, does hereby sell to Buyer the following:
Seller does hereby certify that it currently holds all rights and titles to such goods, and that goods are being transferred to Buyer without lien.
Furthermore, Seller agrees to indemnify Buyer from any claim that may arise in the future against Buyer regarding such goods.
Seller / Date
Buyer / Date
Witness / Date
(Print name and address)