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Odometer Disclosure Statement

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STATE OF NEW MEXICO - MOTOR VEHICLE DIVISION

MVD - 10187

REV. 10/89

ODOMETER DISCLOSURE STATEMENT

FEDERAL AND STATE LAW REQUIRES THE TRANSFEROR (SELLER) OF A VEHICLE TO STATE THE ODOMETER MILEAGE UPON TRANSFER OF

OWNERSHIP. ANYONE CONVICTED OF A FRAUDULENT ODOMETER STATEMENT WILL BE SUBJECT TO FINES AND/OR IMPRISONMENT.

NOTE: THE DIVISION IS NOT RESPONSIBLE FOR FALSE OR FRAUDULENT ODOMETER STATEMENTS MADE IN CONNECTION WITH TRANSFER OF OWNERSHIP OR HELD LIABLE

FOR RECORDING ERRORS.

VEHICLE DESCRIPTION

YEAR

MAKE

MODEL

BODY TYPE

VEHICLE IDENTIFICATION NUMBER

I (SELLER) HEREBY CERTIFY THAT THE ODOMETER READING OF THIS VEHICLE IS:___________________________________ (NO TENTHS) MILES AND THAT TO THE BEST OF MY

KNOWLEDGE STATED MILEAGE IS (CHECK ONE OF THE FOLLOWING):

THE ACTUAL

MILEAGE IN EXCESS OF

WARNING! ODOMETER DISCREPANCY

MILEAGE (AM)

MECHANICAL LIMITS (EL)

NOT THE ACTUAL MILEAGE (NM)

I (SELLER) HEREBY ALSO CERTIFY THAT TO THE BEST OF MY KNOWLEDGE NO ALTERATIONS OR REPAIRS HAVE BEEN MADE TO THE CHASIS OF THIS VEHICLE DUE TO WRECK

DAMAGE EXCEPT AS NOTED ON THE REVERSE SIDE AND/OR ATTACHMENTS HERETO.

SELLER'S NAME

BUYER'S NAME

ADDRESS