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.
This contract implies no warranty. Goods are being sold and transferred "as is" and Buyer hereby certifies that said goods have been inspected and are acceptable at this time.
Seller / Date
Buyer / Date
Witness / Date
(Print name and address)