PRIVATE SALE OF SECOND-HAND GOODS

Description of the item(s) for sale

Serial No.

Year Model

Condition (on visual inspection)

Guarantee/ Return of Goods

Remarks (if any)

Agreed Sum (amount in figures & words)
Preferred Method of Payment

Sellers Surname

Other Names

National Identity No.

Telephone No.

Residential Address

I, the seller named above, declare that the particulars on this form are true and accurate. I also confirm the
receipt of the above-mentioned agreed sum for the sale of the goods in question via the stated preferred
method of payment from the purchaser named below.

Signature:
Purchasers Surname

Other Names

National Identity No.

Telephone No.

Residential Address

I, the purchaser named above, declare that the particulars on this form are true and accurate and claim that
good(s) being purchased is strictly for private use.

Signature:
Date:. Time:..