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Updated August 24, 2022

An  odometer disclosure statement is a required attachment to a vehicle bill of sale at the time of purchase for all vehicles below 16,000 pounds and under 10 years of age. It is required by federal law in all 50 bbin电竞官网官方永久s to be filed for the finalization of the sale and allows the buyer of the vehicle to apply for registration (along with the title and bill of sale  and any other required forms).

This is the federal form, although a state may have its own Odometer Disclosure bbin电竞官网官方永久ment provided by its Department of Motor Vehicles (DMV).

Federal Law 49 U.S. Code § 32705 (Disclosure requirements on transfer of motor vehicles)

Odometer Disclosures – By bbin电竞官网官方永久

bbin电竞官网官方永久 Form
  Alabama Form MVT 5-5
  Alaska Form 839
  Arizona Use Federal Form
  Arkansas Included in the Bill of Sale
  California Form REG 256
 Colorado Use Federal Form
  Connecticut Use Federal Form
  Delaware Use Federal Form
  Florida Form HSMV 82042
  Georgia Form GA-25
  Hawaii Included in the Bill of Sale
  Idaho Use Federal Form
  Illinois Form VSD 333.4
  Indiana Form 43230
  Iowa Form 411077
  Kansas Form TR-59
  Kentucky Form TC 95-5
  Louisiana Form DPSMV 1606
  Maine Form MVT-32
  Maryland Form VR-197
  Massachusetts Use Federal Form
  Michigan BDVR-108
  Minnesota Use Federal Form
  Mississippi Form 78-015
  Missouri Form 1545
  Montana Form MV90-A
  Nebraska DMV Form
  Nevada Use Federal Form
 New Hampshire Form TDMV-12
 New Jersey Form OS/SS UTA
 New Mexico Form MVD–10187
  New York Form MV-103
  North Carolina Form MVR-180
  North Dakota Use Federal Form
  Ohio Form BMV-3724
  Oklahoma Form 729
  Oregon Use Federal Form
  Pennsylvania Use Federal Form
 Rhode Island Use Federal Form
  South Carolina Use Federal Form
  South Dakota Form DMV-611
  Tennessee Form RV-F1317001
  Texas Use Federal Form
  Utah Form TC-891
  Vermont Use Federal Form
  Virginia Form VSA-5
  Washington View Instructions
Washington D.C. Use Federal Form
West Virginia Form DMV-TM-1
  Wisconsin Use Federal Form
  Wyoming Use Federal Form

Video

Sample

ODOMETER DISCLOSURE STATEMENT

Federal and bbin电竞官网官方永久 law 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, [SELLER’S NAME], state that the odometer now reads [#] miles (NO TENTHS) 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.

☐ – (1) I hereby certify that the odometer reading reflects the amount of mileage in excess of its mechanical limits

☐ – (2) I hereby certify that the odometer reading is not the actual mileage. WARNING – ODOMETER DISCREPANCY

VEHICLE DETAILS

  • MAKE : [MAKE]
  • BODY STYLE : [BODY STYLE]
  • MODEL : [MODEL]
  • YEAR : [YEAR]
  • VEHICLE IDENTIFICATION NUMBER (VIN) : [17 DIGITS]

LAST PLATE STATE : [STATE]

LAST PLATE NUMBER : [PLATE #]


SELLER’S SIGNATURE : ___________________________ DATE: ___________________________

PRINT NAME: ___________________________

SELLER’S ADDRESS: ___________________________________________________


ACKNOWLEDGING MILEAGE READING AS CERTIFIED

BUYER’S SIGNATURE : ___________________________ DATE: ___________________________

PRINT NAME: ___________________________

BUYER’S ADDRESS: ___________________________________________________

DATE OF CERTIFICATION: ___________________________

The provisions of this disclosure statement section shall not apply to the following transfers:

(1) A vehicle having a gross vehicle weight rating of more than 16,000 pounds;

(2) A vehicle that is not self-propelled;

(3) A vehicle that is 10 years old or older; or

(4) A new vehicle prior to its first transfer for purposes other than resale.

(5) A new vehicle sold directly by the manufacturer to any agency of the United bbin电竞官网官方永久s in conformity with contractual specifications.