Free Odometer Disclosure Statement Forms and Templates

67
total templates

What Is an Odometer Disclosure Statement?

An Odometer Disclosure Statement is a legal document attached to a Vehicle Bill of Sale, at the time of sale, to declare the vehicle mileage shown on its odometer. The reading of the odometer is disclosed at the back of the Certificate of Title, and when you sell your car, a separate document with the actual mileage is needed. In several states, the Odometer Disclosure is accompanied by Damage Disclosure – you must inform the buyer of any accidents and repairs of the vehicle in the past.

Odometer Disclosure Statements by State

You must fill out an Odometer Statement when selling a car – it is a legal requirement in all states. Some of them have issued their own disclosures that are submitted to the local Department of Motor Vehicles to receive registration and title, and when there is no government-approved template, a generic Odometer Disclosure Statement serves just fine, provided that you include every detail needed for the transfer of ownership.

Alabama Hawaii Massachusetts New Mexico South Dakota
Alaska Idaho Michigan New York Tennessee
Arizona Illinois Minnesota North Carolina Texas
Arkansas Indiana Mississippi North Dakota Utah
California Iowa Missouri Ohio Vermont
Colorado Kansas Montana Oklahoma Virginia
Connecticut Kentucky Nebraska Oregon Washington
Delaware Louisiana Nevada Pennsylvania West Virginia
Florida Maine New Hampshire Rhode Island Wisconsin
Georgia Maryland New Jersey South Carolina Wyoming

How to Fill Out Odometer Disclosure Statement?

Follow these steps to fill out an Odometer Disclosure form:

  1. Before you start completing the document, make sure you understand its purpose. The owner of the vehicle will be disclosing the mileage not only to official government agencies, but also to the buyer, so prepare documentation for the entire transaction at the same time. Be sure to protect yourself and your personal information. The details stated in the disclosure must be true and accurate to the best of the seller’s knowledge – providing false information may result in fines, imprisonment, or both.
  2. Identify the parties by entering their full names and mailing addresses. Specify the location of signing the papers.
  3. Certify the accurate odometer reading at the time of signing the Bill of Sale. Indicate the actual mileage in the document. However, it is allowed to round up the number of miles to the nearest tenth.
  4. Define the odometer accuracy. If you know the odometer reading is incorrect, you must indicate the odometer discrepancy. Sometimes, the odometer shows a blank display and is unreadable, shows the amount of mileage in excess of its mechanical limits, or is simply not working properly. In this case, the reading will be branded "Not Actual" or if you know the odometer was rolled over, mention this in your disclosure. This could diminish the value of your vehicle, so if you know about any malfunctions in advance, think about repairing your car - this will allow you to set a higher price later.
  5. Describe the vehicle in question. State its basic characteristics - your Vehicle Bill of Sale should contain a more detailed description. It is enough to state the make, model, body type, vehicle identification number, and year;
  6. Additionally, the buyer acknowledges the declaration of the seller by signing the document once it is thoroughly read and the vehicle itself was inspected. The seller signs the disclosure confirming the actual mileage of the vehicle is reflected in the document.

When the papers are filled out, attach the statement to the Bill of Sale. The buyer has the original disclosure, while the seller retains its copy. Most states require the purchaser to have a Vehicle Bill of Sale, original Certificate of Title, and an Odometer Disclosure form to obtain a new title and registration.

If you are a car dealer, you must keep your vehicle records and Odometer Disclosure Statements for a minimum of five years in case different agencies in charge of transportation would like to inspect them.  


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Documents

67

Form VT-005 "Bill of Sale and Odometer Disclosure Statement" - Vermont

Rate (4.3 / 5) 55 votes
Size: 287 KB
2 pages

Get this official Vermont Bill of Sale created for sellers and purchasers to exchange an amount of money for a motor vehicle or a boat. This document is suitable for the sale or purchase of a car or boat in the state.

Form 10-313 "Vehicle Bill of Sale/Odometer Disclosure Statement" - Arkansas

Rate (4.3 / 5) 14 votes
Size: 1 MB
1 page

This document is a record of a sold vehicle in the state of Arkansas. It shows important information about the sale of the vehicle and the parties of the deal. Use this form during the transfer of ownership of your vehicle and as proof of purchase.

Form OS/SS-2 "Odometer Disclosure Statement" - New Jersey

Rate (4.3 / 5) 87 votes
Size: 272 KB
1 page

Form VSA5 "Odometer Disclosure Statement" - Virginia

Rate (4.7 / 5) 27 votes
Size: 317 KB
1 page

Form DMV-TM-1 "Odometer Certification" - West Virginia

Rate (4.3 / 5) 10 votes
Size: 1 MB
1 page

Form GA-25 "Non-leased Vehicles Odometer Disclosure Statement" - Georgia (United States)

Rate (4.5 / 5) 11 votes
Size: 47 KB
1 page

Form TR-40 "Power of Attorney Purchase Price and Odometer Disclosure for Electronic Title" - Kansas

Rate (4.7 / 5) 22 votes
Size: 64 KB
1 page

Form TR-59 "Odometer Disclosure Statement" - Kansas

Rate (4.8 / 5) 10 votes
Size: 99 KB
1 page

Form MVT-32 "Odometer Information" - Maine

Rate (4.5 / 5) 10 votes
Size: 71 KB
1 page
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Form EC-18 "Odometer Certification for Emission Exemption" - Nevada

Rate (4.3 / 5) 70 votes
Size: 80 KB
1 page

Form TDMV12 "Odometer Disclosure Statement" - New Hampshire

Rate (4.5 / 5) 17 votes
Size: 247 KB
1 page

Form MVT5-5 "Odometer Disclosure Statement" - Alabama

Rate (4.3 / 5) 6 votes
Size: 49 KB
1 page

Form 839 "Odometer Disclosure Statement" - Alaska

Rate (4.4 / 5) 18 votes
Size: 30 KB
1 page

Form MV809 "Affidavit to Correct Odometer Disclosure" - Delaware

Rate (4.4 / 5) 26 votes
Size: 62 KB
1 page

Form T-107 "Odometer Discrepancy Affidavit - Seller(S)'/Transferor(S)' Statement of Facts" - Georgia (United States)

Rate (4.3 / 5) 12 votes
Size: 48 KB
1 page

Form VR-197 "Odometer Disclosure Statement" - Maryland

Rate (4.3 / 5) 49 votes
Size: 114 KB
1 page

Form BDVR-108 "Odometer Mileage Statement" - Michigan

Rate (4.6 / 5) 79 votes
Size: 476 KB
2 pages

Form MV90A "Odometer Disclosure Statement" - Montana

Rate (4.6 / 5) 42 votes
Size: 116 KB
1 page

Form MV-103 "Odometer and Damage Disclosure Statement" - New York

Rate (4.7 / 5) 67 votes
Size: 62 KB
1 page

Form MVR-180 "Odometer Disclosure Statement" - North Carolina

Rate (4.5 / 5) 57 votes
Size: 135 KB
1 page

OTC Form 729 "Odometer Disclosure Statement" - Oklahoma

Rate (4.7 / 5) 87 votes
Size: 88 KB
1 page

Form TI-008 "Odometer Correction Request" - South Carolina

Rate (4.4 / 5) 19 votes
Size: 171 KB
1 page

Form TC-891 "Odometer Disclosure Statement" - Utah

Rate (4.5 / 5) 43 votes
Size: 82 KB
1 page

Form TC-893 "Odometer Disclosure Waiver" - Utah

Rate (4.4 / 5) 54 votes
Size: 94 KB
1 page

Sample Form DR2174 "Power of Attorney for a Motor Vehicle" - Colorado

Rate (4.3 / 5) 20 votes
Size: 392 KB
1 page

Form T-107A "Odometer Discrepancy Affidavit" - Georgia (United States)

Rate (4.4 / 5) 15 votes
Size: 33 KB
1 page

Form TC96-4 "Odometer Disclosure Statement (Leased Vehicle)" - Kentucky

Rate (4.4 / 5) 16 votes
Size: 117 KB
1 page

Form TC96-5 "Odometer Disclosure Statement" - Kentucky

Rate (4.3 / 5) 18 votes
Size: 116 KB
1 page

Form DPSMV1606 "Odometer Disclosure" - Louisiana

Rate (4.6 / 5) 13 votes
Size: 116 KB
1 page

Form 1545 "Odometer Statement of Explanation" - Missouri

Rate (4.6 / 5) 29 votes
Size: 44 KB
1 page

Form 3019 "Odometer Disclosure Statement" - Missouri

Rate (4.7 / 5) 6 votes
Size: 53 KB
2 pages

Form BMV3724 "Odometer Disclosure Statement" - Ohio

Rate (4.3 / 5) 57 votes
Size: 80 KB
1 page

Form TI-021A "Affidavit of Ownership for a Motor Vehicle, Trailer or Mobile Home" - South Carolina

Rate (4.8 / 5) 18 votes
Size: 287 KB
2 pages

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

Rate (4.7 / 5) 65 votes
Size: 228 KB
2 pages

Form HSMV82993 "Separate Odometer Disclosure Statement and Acknowledgment" - Florida

Rate (4.3 / 5) 18 votes
Size: 30 KB
1 page

Form HSMV82995 "Application for Motor Vehicle Power of Attorney/Odometer Disclosure" - Florida

Rate (4.6 / 5) 23 votes
Size: 1 MB
2 pages

Form HSMV82996 "Application for Motor Vehicle Dealer/Auto Auction or Customer Odometer Affidavit" - Florida

Rate (4.6 / 5) 78 votes
Size: 15 KB
1 page

Form VSD333.4 "Odometer Disclosure Statement for Title Transfers" - Illinois

Rate (4.5 / 5) 22 votes
Size: 280 KB
1 page

State Form 43230 "Odometer Disclosure Statement" - Indiana

Rate (4.4 / 5) 70 votes
Size: 1 MB
1 page

Form MVD-10187 "Odometer Disclosure Statement" - New Mexico

Rate (4.8 / 5) 12 votes
Size: 207 KB
1 page