Free odometer disclosure statement 32
Download the document to the computer for easy use
There are more pages to preview,Read on

LOUISIANA DEPARTMENT OF PUBLIC SAFETY
OFFICE OF MOTOR VEHICLES

ODOMETER DISCLOSURE
STATEMENT
Federal and State law require that you state the mileage upon transfer
of ownership. Failure to complete or providing a false statement may result in
fine and/or imprisonment.
I,

certify that the odometer now reads
Seller (Print name)

(no tenths)

miles and to the best of my knowledge 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

Year
Vehicle Identification Number
SELLER’S Signature
Printed Name of Seller
Seller’s Address
(Street)

(City)

(State)

(ZIP Code)

BUYER’s Signature
Printed Name of Buyer
Representative Name (of Company)