THREE men died when a Mitsubishi SUV they were travelling in collided with a Subaru sedan on the Bells Line of Road at Kurmond, near Richmond, just after 3.30pm on Sunday.
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NSW Police said the three men, aged in their 20s, died at the scene and have yet to be formally identified.
The male driver of the Mitsubishi, also believed to be aged in his 20s, was taken to Westmead Hospital with non-life threatening injuries.
The driver and passenger of the Subaru - a couple aged in their 80s - have also been taken to Westmead Hospital with non life-threatening injuries.
Bells Line of Road was closed in both directions between Kurrajong and Bell while police from Hawkesbury Local Area Command set up a crime scene to examine the cause of the crash.
The road has since been opened.
Officers from the Metropolitan Crash Investigation Unit also attended the scene to investigate.
Transport for NSW statistics show 229 people died on the state's roads between January 1 and August 27 this year, up from 205 for the same period in 2014.