Free Odometer Disclosure Statement Template
An odometer disclosure statement records a vehicle's mileage at the time of sale and the seller's certification that the reading is accurate, as required by the federal Truth in Mileage Act. Enter the vehicle details, the current odometer reading, and the certification, then print it for both parties to sign. Many states also require this disclosure to appear on the title itself.
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ODOMETER DISCLOSURE STATEMENT
This Odometer Disclosure Statement is made on ________________ in connection with the transfer of the vehicle described below from ________________ ("Seller"), of ________________, to ________________ ("Buyer"), of ________________. Federal law, under the Truth in Mileage Act and the regulations of the National Highway Traffic Safety Administration, requires the transferor of a motor vehicle to state the mileage on transfer of ownership. Providing a false statement may result in fines, imprisonment, or both.
VEHICLE. The vehicle covered by this statement is a ________________ ________________ ________________, body type ________________, Vehicle Identification Number (VIN) ________________.
ODOMETER CERTIFICATION. The Seller states that the odometer now reads ________________ miles, no tenths, and certifies as follows: ________________.
BUYER ACKNOWLEDGMENT. The Buyer acknowledges receipt of this odometer disclosure and understands the certification made above. Both parties certify that the information in this statement is true and correct to the best of their knowledge as of ________________.
This is a general template and not legal advice. Federal law requires odometer disclosure on most vehicle transfers, and many states require the disclosure to appear on the certificate of title or on a state-approved secure form rather than on a separate document, with rules that vary by the vehicle's age and weight. Review the motor vehicle requirements of ________________ and the federal Truth in Mileage Act, or have an attorney review this document before use.
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Questions
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These are professionally structured templates using standard clause language. Whether a completed document is legally binding depends on your state's requirements, proper signing (and notarization or witnesses where required), and your specific situation. For anything high-stakes, have an attorney review it. Nothing here is legal advice.
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The template includes signature lines. Some documents need witnesses or a notary to be enforceable in your state. Check your state's requirements before signing, and use a notary where one is required.