Free odometer disclosure statement 28
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ODOMETER DISCLOSURE STATEMENT
Federal 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. Colorado law 42-6-202 (5), C.R.S., also states it is unlawful to fail to give the information or to
knowingly give false information.
EXCEPTIONS: Vehicles 10 years old or older.
Vehicles over 10,000 pounds empty weight.

VEHICLE DESCRIPTION
Vehicle Identification Number (VIN)

Year

Make

Body

Model

ODOMETER DISCLOSURE
Current Odometer Reading
(No Tenths of Miles)

To the best of my knowledge:
The odometer reading is the actual mileage of the vehicle.
The odometer reading is in excess of its mechanical limits.
The odometer reading is not the actual mileage.

WARNING—ODOMETER DISCREPANCY
Under penalty of perjury, I/we (the seller) swear or affirm that the above information is true and correct to the best of my/our
knowledge.
Individual Seller’s/Company’s Name
Seller’s/Agent’s Signature

Sel