Free odometer disclosure statement 10
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ODOMETER (MILEAGE) STATEMENT
(FEDERAL REGULATIONS REQUIRE YOU TO STATE THE ODOMETER MILEAGE UPON TRANSFER OF OWNERSHIP.
AN INACCURATE OR UNTRUTHFUL STATEMENT MAY MAKE YOU LIABLE FOR DAMAGES TO YOUR TRANSFEREE,
FOR ATTORNEY FEES, AND FOR CIVIL OR CRIMINAL PENALTIES, PURSUANT TO SECTIONS 409, 412, AND 413 OF
THE MOTOR VEHICLE INFORMATION AND COST SAVINGS ACT OF 1972 (PUB. L. 92-513, AS AMENDED BY PUB. L.
94-364) AND APPLICABLE STATE LAWS.
I,

, STATE THAT THE ODOMETER

MILEAGE ON THE VEHICLE

TRANSFEROR'S NAME - SELLER - PRINT

DESCRIBED BELOW NOW READS

MILES/KILOMETERS.

CHECK ONE BOX ONLY:

ODOMETER READING

(1) I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER READING AS STATED
ABOVE REFLECTS THE ACTUAL MILEAGE OF THE VEHICLE DESCRIBED BELOW.
(2) I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER READING AS STATED
ABOVE REFLECTS THE AMOUNT OF MILEAGE IN EXCESS OF DESIGNED MECHANICAL ODOMETER LIMIT
OF 99,999 MILES/KILOMETERS OF THE VEHICLE DESCRIBED BELOW.
(3)