SAMPLE DOCUMENT · Illustrative details only
EXAMPLE MOTORS
12 Auto Avenue, Chandigarh, Punjab
GSTIN: 03ABCDE1234F1Z5

FORM 21
(See Rule 47 (a) and (d))
SALES CERTIFICATE

To be issued by manufacturer or dealer or registered E-rickshaw or E-cart Association (in case of E-rickshaw or E-cart) or officer of Defence Department (in case of military auctioned vehicles) for presentation alongwith the application for registration of a motor vehicle.

To,

REGIONAL TRANSPORT OFFICER Invoice NO: INV-2026-0142
N/A Invoice Date: 01-10-2026

Certified that
Scorpio N Z8 has been delivered on 01-10-2026 by us to Aarav Sharma.

Name of Buyer : Aarav Sharma
Address : Chandigarh, Punjab - 160001
City, Tehsil, District : Chandigarh
State : Punjab
Contact Number : 98765 43210

This vehicle is held under agreement of H.P./Lease/Hypothecation with: Example Bank.

The details of vehicles are given below

The details of vehicles are given below:
1. Class of Vehicle: Motor car
2. Maker’s Name: Mahindra & Mahindra
3. Chassis Number: MA1DE2AB3CD456789
4. Engine Number: ENG123456
5. Horse Power / Cubic Capacity: 0
6. Fuel Used: Diesel
7. No. of Cylinders: 0
8. Month & Year of Manufacture: 0
9. Seating Capacity (Inclusive of Driver): 7
10. Unladen Weight: 0
11. Maximum Axle Weight/Number & Description Of Tyre
(in case of Transport Vehicles)
:
   a) Front Axle: 0
   b) Rear Axle: 0
   c) Any Other Axle: 0
   d) Tandem Axle: 0
12. Color or Colors of Body: Everest White
13. Gross Vehicle Weight: 0
14. Type of Body: N/A
15. Maximum Speed: 0

For EXAMPLE MOTORS


(Authorized Signature)

Generated with DealerSetu free tools. For reference use; verify tax and RTO requirements with your CA / RTO.