Notarized odometer statement template7/26/2023 ![]() (5) A new vehicle sold directly by the manufacturer to any agency of the United States in conformity with contractual specifications.įor the comprehensive document, please download the free form or hit “create document. (4) A new vehicle prior to its first transfer for purposes other than resale. (3) A vehicle that is 10 years old or older or (2) A vehicle that is not self-propelled (1) A vehicle having a gross vehicle weight rating of more than 16,000 pounds The provisions of this disclosure statement section shall not apply to the following transfers: SELLER’S ADDRESS: _ĪCKNOWLEDGING MILEAGE READING AS CERTIFIEDīUYER’S SIGNATURE: _ DATE: _īUYER’S ADDRESS: _ĭATE OF CERTIFICATION: _ Illinois: Form VSD 333 - Odometer Disclosure Statement for Title Transfers Indiana: Enter the reading on the existing title. ![]() ☐ – (2) I hereby certify that the odometer reading is not the actual mileage. ☐ – (1) I hereby certify that the odometer reading reflects the amount of mileage in excess of its mechanical limits ![]() I,, state that the odometer now reads miles (NO TENTHS) 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. Failure to complete or providing a false statement may result in fines and/or imprisonment. Fill Out The Vehicle Bill Of Sale/odometer Disclosure Statement - Arkansas Online And Print It Out For Free. Federal and State law requires that you state the mileage upon transfer of ownership. Download Fillable Form 10-313 In Pdf - The Latest Version Applicable For 2023. Authorizes the DMV to charge your credit or debit card for license or registration fees.
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