Form HSMV82042 "Vehicle Identification Number and Odometer Verification" - Florida

What Is Form HSMV82042?

This is a legal form that was released by the Florida Department of Highway Safety and Motor Vehicles - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on January 15, 2021;
  • The latest edition provided by the Florida Department of Highway Safety and Motor Vehicles;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form HSMV82042 by clicking the link below or browse more documents and templates provided by the Florida Department of Highway Safety and Motor Vehicles.

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Download Form HSMV82042 "Vehicle Identification Number and Odometer Verification" - Florida

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FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES
DIVISION OF MOTORIST SERVICES
SUBMIT THIS FORM TO YOUR LOCAL TAX COLLECTOR OFFICE
www.flhsmv.gov/offices/
VEHICLE IDENTIFICATION NUMBER AND ODOMETER VERIFICATION
PART A - OWNER’S VEHICLE IDENTIFICATION AFFIDAVIT AND ODOMETER DECLARATION
(Completion of this part requires a physical inspection of the vehicle by the owner)
AFFIDAVIT:
DATE:
This is to certify that I, the undersigned, am the lawful owner of the motor vehicle described on this form and that I have,
on the date entered above, made a physical inspection of the motor vehicle and have recorded the vehicle identification
number and other identification information and the odometer reading and certification in the spaces provided on this form.
VEHICLE IDENTIFICATION
(MOTOR NUMBER ALL MAKES THROUGH 1954 - IDENTIFICATION NUMBER 1955 AND LATER)
Vehicle Identification Number
Year
Make
Color
Body
Previous State Vehicle Titled In
ODOMETER DECLARATION
WARNING: Federal and State law require that you state the mileage in connection with an application for a
Certificate of Title. Failure to complete or providing a false statement may result in fines and/or imprisonment.
,
I /WE STATE THAT THIS
5 OR
6 DIGIT ODOMETER NOW READS
.XX (NO TENTHS)
MILES, DATE READ
/
/
AND I/WE HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE
THE ODOMETER READING:
1.
2
3
reflects ACTUAL MILEAGE.
. is IN EXCESS OF ITS MECHANICAL LIMITS.
. is NOT THE ACTUAL MILEAGE.
UNDER PENALTY OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING
DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE.
(Owner/ Purchaser Signature)
Printed name
(Seller's Signature)
Printed name
PART B – VERIFICATION OF THE VEHICLE IDENTIFICATION NUMBER
This section requires a physical inspection under the windshield and in the door jamb to verify the vehicle identification number (VIN)
for the motor vehicle described in this form. If the motor vehicle was manufactured prior to 1955, the motor number must be verified.
If the verification is performed by someone other than a Notary, the VIN verification can be performed by a Florida Licensed Dealer,
Law Enforcement Officer, Military Police Officer, or Florida Compliance Examiner/Inspector (Division of Motorist Services/Tax
Collector employee). Complete this section on all used motor vehicles, including trailers, (with abbreviation of “TL” with a weight of
2,000 pounds or more) not currently titled in Florida.
I, the undersigned, certify that I have physically inspected the above described vehicle and find the vehicle identification number
under the windshield and in the door jamb to be identical to the vehicle identification number recorded on this form.
UNDER PENALTY OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT
AND THAT THE FACTS STATED IN IT ARE TRUE.
Date:
(Seal)
Notary’s Signature:
Commissioned Name of Florida Notary:
(Print, Type or Stamp)
If other than a Notary, check the box below that applies, and sign and complete the corresponding fields. Verified by:
Military Police Officer/
Florida Compliance Examiner/
Florida Licensed Dealer
Inspector(DMS/TC Employee)
Law Enforcement Officer
Signature:
Printed Name:
Florida Compliance Examiner/Inspector Name:
Badge or ID #:
Law Enforcement Agency Name:
LEO Badge #:
Florida Dealer Name:
Florida Dealer #:
◆ NOTICE: ANY ALTERATION OR ERASURE MAY VOID THIS DOCUMENT ♦
HSMV 82042 (REV. 01/15/21)
www.flhsmv.gov
FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES
DIVISION OF MOTORIST SERVICES
SUBMIT THIS FORM TO YOUR LOCAL TAX COLLECTOR OFFICE
www.flhsmv.gov/offices/
VEHICLE IDENTIFICATION NUMBER AND ODOMETER VERIFICATION
PART A - OWNER’S VEHICLE IDENTIFICATION AFFIDAVIT AND ODOMETER DECLARATION
(Completion of this part requires a physical inspection of the vehicle by the owner)
AFFIDAVIT:
DATE:
This is to certify that I, the undersigned, am the lawful owner of the motor vehicle described on this form and that I have,
on the date entered above, made a physical inspection of the motor vehicle and have recorded the vehicle identification
number and other identification information and the odometer reading and certification in the spaces provided on this form.
VEHICLE IDENTIFICATION
(MOTOR NUMBER ALL MAKES THROUGH 1954 - IDENTIFICATION NUMBER 1955 AND LATER)
Vehicle Identification Number
Year
Make
Color
Body
Previous State Vehicle Titled In
ODOMETER DECLARATION
WARNING: Federal and State law require that you state the mileage in connection with an application for a
Certificate of Title. Failure to complete or providing a false statement may result in fines and/or imprisonment.
,
I /WE STATE THAT THIS
5 OR
6 DIGIT ODOMETER NOW READS
.XX (NO TENTHS)
MILES, DATE READ
/
/
AND I/WE HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE
THE ODOMETER READING:
1.
2
3
reflects ACTUAL MILEAGE.
. is IN EXCESS OF ITS MECHANICAL LIMITS.
. is NOT THE ACTUAL MILEAGE.
UNDER PENALTY OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING
DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE.
(Owner/ Purchaser Signature)
Printed name
(Seller's Signature)
Printed name
PART B – VERIFICATION OF THE VEHICLE IDENTIFICATION NUMBER
This section requires a physical inspection under the windshield and in the door jamb to verify the vehicle identification number (VIN)
for the motor vehicle described in this form. If the motor vehicle was manufactured prior to 1955, the motor number must be verified.
If the verification is performed by someone other than a Notary, the VIN verification can be performed by a Florida Licensed Dealer,
Law Enforcement Officer, Military Police Officer, or Florida Compliance Examiner/Inspector (Division of Motorist Services/Tax
Collector employee). Complete this section on all used motor vehicles, including trailers, (with abbreviation of “TL” with a weight of
2,000 pounds or more) not currently titled in Florida.
I, the undersigned, certify that I have physically inspected the above described vehicle and find the vehicle identification number
under the windshield and in the door jamb to be identical to the vehicle identification number recorded on this form.
UNDER PENALTY OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT
AND THAT THE FACTS STATED IN IT ARE TRUE.
Date:
(Seal)
Notary’s Signature:
Commissioned Name of Florida Notary:
(Print, Type or Stamp)
If other than a Notary, check the box below that applies, and sign and complete the corresponding fields. Verified by:
Military Police Officer/
Florida Compliance Examiner/
Florida Licensed Dealer
Inspector(DMS/TC Employee)
Law Enforcement Officer
Signature:
Printed Name:
Florida Compliance Examiner/Inspector Name:
Badge or ID #:
Law Enforcement Agency Name:
LEO Badge #:
Florida Dealer Name:
Florida Dealer #:
◆ NOTICE: ANY ALTERATION OR ERASURE MAY VOID THIS DOCUMENT ♦
HSMV 82042 (REV. 01/15/21)
www.flhsmv.gov
WHO IS AUTHORIZED TO COMPLETE THIS FORM?
ANY PERSON OR AUTHORIZED AGENT OF ANY PERSON REQUIRED TO MAKE APPLICATION FOR CERTIFICATE
OF TITLE AND/OR REGISTRATION.
WHEN SHOULD THIS FORM BE COMPLETED?
ON ALL USED MOTOR VEHICLES, INCLUDING TRAILERS NOT CURRENTLY TITLED IN FLORIDA, WITH A NET
WEIGHT OF 2,000 POUNDS OR MORE.
WHEN SHOULD THIS FORM NOT BE COMPLETED?
WHEN CERTIFICATE OF TITLE IS BEING APPLIED FOR ON ONE OF THE FOLLOWING:
1. NEW MOTOR VEHICLE, REGARDLESS OF WHETHER PURCHASED IN FLORIDA OR
OUT OF-STATE
2. MOBILE HOME
3. TRAILER OR SEMITRAILER WITH A NET WEIGHT OF LESS THAN 2,000 POUNDS
4. TRAILER TYPE RECREATIONAL VEHICLE (TRAVEL TRAILERS AND CAMP TRAILERS)
5. OFF-HIGHWAY VEHICLE
Visit the following website for current mailing addresses
http://www.flhsmv.gov/offices/
HSMV 82042 (REV. 01/15/21)
www.flhsmv.gov
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