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This written disclosure must be signed by the transferor, including the printed name, and shall contain the following information: (1) The odometer reading at the time of the transfer (not to include tenths of miles); (2) The date of the transfer; (3) The transferor's name and current address; (3a) The transferee's ...
Seller's Signature Seller's Name (Print Name in Full) Mailing Address (Include Street Number and Name, Rural Delivery, Box, Apt. No.) Enter odometer reading exactly as it appears on the vehicle's odometer (excluding tenths) and check applicable boxes.
The odometer disclosure should contain: The complete vehicle description (make, year model, body type, and vehicle identification number). The date of sale. Reference to federal and state law with the following or similar wording:
Odometer Disclosure Statement. Information. Step 1 ? Vehicle Information. Step 2 ? Buyer Information. Step 3 ? Seller Information. Step 4 ? Odometer Information. ? WARNING ? ODOMETER DISCREPANCY ? I hereby certify that the odometer reading is NOT the. Step 5 ? Statement of Buyer.
7. An Odometer Disclosure Statement for all vehicles that are 10 years old or newer. If the proof of ownership does not contain an Odometer Disclosure Statement, the new owner and seller must complete and sign the Odometer Disclosure Statement section of form MV-103*.