Odometer Disclosure printable pdf download

Odometer Disclosure

Effective Date:

____/____/______

Buyer

[Legal Name] (AKA, “The Buyer”)

Located

[City], [State] [Zip Code]

Seller

[Legal Name](AKA, “The Seller”)

Located at

[Address]

[City], [State] [Zip Code]

I the Seller do hereby state that the odometer mileage as indicated for the below described

vehicle is the following:

[__] Miles

[__] Kilometers

[__] Hours

To the best of my knowledge, I do hereby certify that:

[__] The odometer reading is the actual logged mileage.

[__] The odometer reading is an amount of mileage that is beyond its mechanical limits.

[__] The odometer reading is not the actual mileage that has been used.

Year: _________________________________________________________________________

Make: ________________________________________________________________________

Model: ________________________________________________________________________

Body Type: ____________________________________________________________________

VIN: __________________________________________________________________________

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Odometer Disclosure