Odometer Reading
Odometer Reading
Odometer Reading
Original odometer disclosure statement for vehicle on title listed above. Correction to odometer disclosure statement for vehicle listed below. Odometer statement for transfer of vehicle without title (legal affidavit/court document). Federal/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. I, (transferors name please print) certify that the odometer now reads To the best of my knowledge, the mileage is: ONLY ONE BOX MUST BE CHECKED (1) Actual mileage (2) In excess of its mechanical limits (3) NOT the actual (no tenths) miles.
WARNING . . . ODOMETER DISCREPANCY *** Transferor Seller; Transferee Buyer *** Year Make Model Body Style
Transferees Signature (buyer) Transferees Name (Hand Printed) Street Address City State Zip Code
Original-Attach to Title Copy- Sellers Copy Copy- Buyers Copy TR-59 www(603)