Odometer Disclosure Statement
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1Form 729
Revised 11-2013
Oklahoma Tax Commission
Motor Vehicle Division
Odometer Disclosure Statement
Federal law (and State law, if applicable) requires that you state the mileage upon transfer of ownership. Failure to com-
plete or providing a false statement may result in fines and/or imprisonment.
I, ______________________________________________________________________________________________
Transferor’s (seller) Printed Name
state that the odometer now reads ______________________________ (NO Tenths) miles and to the best of my knowl-
edge that it reflects the actual mileage of the vehicle described below, unless one of the following statements is checked.
1. I hereby certify that to the best of my knowledge the odometer reading reflects the amount of mileage in
excess of its mechanical limits.
2. I hereby certify that the odometer reading is not the actual mileage. Warning – Odometer Discrepancy.
Make
Model
Body Type
Vehicle Identification Number
Year
Form must be completed utilizing printed and signed names of individuals, not companies or organizations. Same individ-
ual may not sign as both transferor and transferee.
Transferer’s (sellers) Signature
Date of Statement
(Must be signature of individual, not company or organization)
Transferer’s (seller) Printed Name
(Must be printed name of individual signing above, not company or organization)
Address
City
State
ZIP Code
Transferer’s (buyer) Signature
(Must be signature of individual, not company or organization)
Date of Statement
Transferer’s (buyer) Printed Name
(Must be printed name of individual signing above, not company or organization)
Address
City
State
ZIP Code
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