Free Odometer Statement

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Feel free to copy and paste this Odometer Statement onto your computer. Then work with it in your word processor. Format it. Modify it. Personalize it. Make it your own.

I personally drafted this Odometer Disclosure form and you have my permission to copy it and use it, with my compliments.

If this Odometer Disclosure Statement is not the form that you are looking for, check out my Printable Bill of Sale index page. You'll find a variety of free specialty and state-specific Bill of Sale forms.

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But remember that this free Odometer Statement is no substitute for the guidance of a competent, local lawyer. I strongly recommend that you have a lawyer in your home town review this Odometer Statement before you sign it.

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W. Stephen Hernsberger


Odometer Disclosure Statement

Federal law (and State law, if applicable) requires that you state the mileage upon transfer of ownership. Failure to complete or providing a false statement may result in fines and/or imprisonment.

I, ______________________________________, state that the odometer now reads ____________ miles and to the best of my knowledge that it reflects the actual mileage of the vehicle described below, unless one of the following statements is checked.

_____ I hereby certify that to the best of my knowledge, the odometer reading reflects the amount of mileage in excess of its mechanical limits.

_____ I hereby certify that the odometer reading is NOT the actual mileage. WARNING: ODOMETER DISCREPANCY.

Make: ____________________________________________________________________

Model:  ___________________________________________________________________

Body Type: ________________________________________________________________

Year: _____________________________________________________________________

Vehicle Identification Number (VIN): ______________________________________________

Seller's Information:

Name ___________________________________________________________________

Street Address ____________________________________________________________

City _____________________________________________________________________

State __________________   Zip ______________

Buyer's Information:

Name ___________________________________________________________________

Street Address ____________________________________________________________

City _____________________________________________________________________

State __________________   Zip _______________

 

_____________________________________

Seller's Signature

 

_____________________________________

Buyer's Signature

 

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The information and materials posted on this website are not legal advice. The information and materials posted on this website are not applicable to any specific set of facts, especially to any individual's personal situation. Nothing contained herein creates or constitutes an attorney-client relationship with W. Stephen Hernsberger. No representation or warranty, of any kind, is made as to the accuracy or suitability of any information or form contained on this website. You are strongly encouraged to seek the advice of a local lawyer licensed in your jurisdiction.