Form MV809 "Affidavit to Correct Odometer Disclosure" - Delaware

What Is Form MV809?

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

Form Details:

  • Released on April 1, 2001;
  • The latest edition provided by the Delaware Department of Transportation - Division of 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 MV809 by clicking the link below or browse more documents and templates provided by the Delaware Department of Transportation - Division of Motor Vehicles.

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Download Form MV809 "Affidavit to Correct Odometer Disclosure" - Delaware

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DELAWARE DIVISION OF MOTOR VEHICLES
AFFIDAVIT TO CORRECT AN ODOMETER DISCLOSURE
www.dmv.de.gov
This form may only be used to make a correction to odometer information incorrectly stated on
the title or manufacturer’s statement of origin. The seller of the vehicle must state the reason a
correction is needed and make a correct disclosure.
VEHICLE INFORMATION
TAG NO.
MAKE
MODEL
YEAR
VEHICLE IDENTIFICATION NO.
SELLER’S REASON FOR CORRECTION:
SELLER’S CORRECTED DISCLOSURE
I certify to the best of my knowledge that the ODOMETER READING is the ACTUAL
MILEAGE of the vehicle unless one of the following statements is checked:
1. The mileage stated is in excess of odometer mechanical limits. (Exceeds
ODOMETER READING-MILES (NO TENTHS)
99,999)
2. The odometer reading is not the actual mileage. – WARNING –
ODOMETER DISCREPANCY
FEDERAL and State Law requires that you state the mileage in connection with transfer of ownership. Failure to complete
ODOMETER STATEMENT OR providing a FALSE STATEMENT may result in fines and/or imprisonment.
I certify, under penalty of perjury, that the statements made herein are true and correct to the best of my knowledge, information and
belief.
Signature of Seller
Signature of Buyer
Printed Name of Seller
Printed Name of Buyer
Printed Name of DMV Witness
Signature of DMV Witness
Signatures must be notarized for both seller and buyer unless the signatures are
witnessed by a Delaware Division of Motor Vehicles employee. Should buyer and seller sign at
different times, their signatures must be notarized separately.
Before me personally appeared
(Name of Seller/Buyer) who by me duly
sworn upon oath says that the statements set forth above are true and correct. SUBSCRIBED TO AND SWORN before me this
day of
,
.
Signature of Notary
Notary Public for
County, State of
My commission expires
Before me personally appeared
(Name of Seller/Buyer) who by me duly
sworn upon oath says that the statements set forth above are true and correct. SUBSCRIBED TO AND SWORN before me this
day of
,
.
Signature of Notary
PLEASE FILM
Notary Public for
County, State of
My commission expires
MV809 (Revised 4/2001)
DELAWARE DIVISION OF MOTOR VEHICLES
AFFIDAVIT TO CORRECT AN ODOMETER DISCLOSURE
www.dmv.de.gov
This form may only be used to make a correction to odometer information incorrectly stated on
the title or manufacturer’s statement of origin. The seller of the vehicle must state the reason a
correction is needed and make a correct disclosure.
VEHICLE INFORMATION
TAG NO.
MAKE
MODEL
YEAR
VEHICLE IDENTIFICATION NO.
SELLER’S REASON FOR CORRECTION:
SELLER’S CORRECTED DISCLOSURE
I certify to the best of my knowledge that the ODOMETER READING is the ACTUAL
MILEAGE of the vehicle unless one of the following statements is checked:
1. The mileage stated is in excess of odometer mechanical limits. (Exceeds
ODOMETER READING-MILES (NO TENTHS)
99,999)
2. The odometer reading is not the actual mileage. – WARNING –
ODOMETER DISCREPANCY
FEDERAL and State Law requires that you state the mileage in connection with transfer of ownership. Failure to complete
ODOMETER STATEMENT OR providing a FALSE STATEMENT may result in fines and/or imprisonment.
I certify, under penalty of perjury, that the statements made herein are true and correct to the best of my knowledge, information and
belief.
Signature of Seller
Signature of Buyer
Printed Name of Seller
Printed Name of Buyer
Printed Name of DMV Witness
Signature of DMV Witness
Signatures must be notarized for both seller and buyer unless the signatures are
witnessed by a Delaware Division of Motor Vehicles employee. Should buyer and seller sign at
different times, their signatures must be notarized separately.
Before me personally appeared
(Name of Seller/Buyer) who by me duly
sworn upon oath says that the statements set forth above are true and correct. SUBSCRIBED TO AND SWORN before me this
day of
,
.
Signature of Notary
Notary Public for
County, State of
My commission expires
Before me personally appeared
(Name of Seller/Buyer) who by me duly
sworn upon oath says that the statements set forth above are true and correct. SUBSCRIBED TO AND SWORN before me this
day of
,
.
Signature of Notary
PLEASE FILM
Notary Public for
County, State of
My commission expires
MV809 (Revised 4/2001)