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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 ...
Federal and State law requires that you state the mileage upon transfer of ownership. Failure to complete or providing a false statement may result in fines and/or imprisonment.
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*.
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.
Federal and State law require that the seller states the mileage in connection with the transfer of ownership. Failure to complete the odometer statement, or providing a false statement, may result in fines and/or imprisonment.