Find out if your state or country requires an odometer disclosure statement and whether it must be a separate document or printed on the back of the title.
If you sell a vehicle to another individual, you will need to complete the disclosure statement below. The statement certifies the odometer reading at the time of the sale and must be signed by both the buyer and seller. An odometer disclosure statement is not required if the vehicle is:
(1) A vehicle that is 10 years or older (2) Non-motorized (3) With a registered weight of more than 16,000 lbs.
If you buy a vehicle from another individual, be sure the seller provides you with a separate odometer disclosure statement. You will need to submit a copy of the statement to the Division of Motor Vehicles when applying for your title.
You can attach your disclosure statement to your free Car Sales Agreement to formalize your transaction. Explore the useful tips nd information on our Automobile Bill of Sale page when buying or selling a vehicle.
Note: all addresses must be complete physical addresses. You can download the form right here, but make sure that it fulfills all the requirements of your local authorities.
Federal and State law require that you state the odometer mileage upon transfer of ownership. Failure to complete or providing a false statement may result in fines and/or imprisonment.
TO BE COMPLETED BY THE SELLER
I/We _____________________________________ state that the odometer mileage indicated for the vehicle described below is:
______________________ (check one) ___ Miles ___ Kilometers ___ Hours
and I hereby certify to the best of my knowledge that (check one statement below that is applicable)
____ (1) The odometer reading is the actual mileage.
____ (2) The odometer reading reflects the amount of mileage in excess of its mechanical limits.
____ (3) The odometer reading is not actual mileage. WARNING - ODOMETER DISCREPANCY.
Vehicle Identification Number:
Printed Name of Seller:
Address of Seller:
Seller's Certification Date:
TO BE COMPLETED BY THE BUYER
Printed Name of Buyer:
Address of Buyer:
Date Completed Form Received:
Your free odometer disclosure statement can be used to legally record your vehicle's mileage. The seller must keep a signed copy as record.