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Federal and State law require that you furnish to the transferee a written odometer disclosure statement upon transfer of ownership. How to complete the Utah Odometer Disclosure Statement.124 and Title 49 of the Code of Federal Regulations (C. A completed Vehicle Application for Utah Title (Form TC656). If the Missouri title was issued after August 28, 1989, the odometer disclosure is required to be completed on the back of the title rather than on a separate. Completed Odometer Disclosure Statement (Form TC891) if the car is less than 10 years old. If so, then sign parts 1 and 2 of the form and then give the buyer this completed form in place of your lost Utah title. (e) accept or give an incomplete odometer statement when an odometer statement is required under Section 41-1a-902. Use this form to obtain a duplicate UT vehicle title from the DMV. Title. Assignment and Release of Interest Section.