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Vehicle Odometer Statement

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VEHICLE ODOMETER STATEMENT

WHEREAS

WHEREAS Seller Name: is transferring ownership of the vehicle described below to Buyer Name: .

WHEREAS federal and state law require that the odometer mileage be disclosed in connection with the transfer of motor vehicle ownership, and that the parties execute this written odometer statement at the time of transfer.

VEHICLE INFORMATION

ODOMETER DISCLOSURE

Odometer Reading (numbers):   Date of Reading:

I certify under penalty of law that, to the best of my knowledge, the odometer reading above is:

Actual mileage; no tampering indicated.
Not the actual mileage; odometer reading is not the actual mileage.
Exceeds mechanical limits (odometer rolled over).
Odometer reading unknown.

TRANSFER AND PAYMENT

PARTIES' CONTACT INFORMATION

CERTIFICATION

Seller hereby certifies that the odometer reading set forth above is accurate to Seller's best knowledge and belief as of the Date of Sale identified in this statement. Seller further certifies that no person has removed, altered, or tampered with the odometer of the vehicle, except as disclosed herein. If Seller knows the odometer reading is not the actual mileage or exceeds the mechanical limits of the odometer, Seller has checked the appropriate box above.

Buyer acknowledges receipt of this Odometer Statement and understands that the odometer disclosure is relied upon in the transfer of ownership. Buyer is advised to keep a copy of this statement with the vehicle's title documentation.

LEGAL NOTICE

WARNING: Federal and state law imposes criminal and civil penalties for odometer tampering and for making false statements. By signing below, the parties certify under penalty of perjury that the information contained in this Vehicle Odometer Statement is true and correct to the best of their knowledge.

Seller:

By:

Date:

Buyer:

By:

Date:

Enter text✕

What a Vehicle Odometer Statement Is and when it matters

A Vehicle Odometer Statement is a written declaration of a motor vehicle's odometer reading at the time of transfer or sale. The statement documents the vehicle identification number (VIN), current mileage, date of reading, seller and buyer identities, and signatures. It supports title transfer, registration, and fraud prevention by creating a record that the parties and agencies can rely on. Many jurisdictions require an odometer disclosure for certain vehicles and transfers; federal law also addresses odometer tampering and misrepresentation during interstate sales.

Why accurate odometer disclosure matters

Completing a Vehicle Odometer Statement protects buyers and sellers, assists DMV processing, and reduces risk of fraud or post-sale disputes by creating a clear, signed record of mileage at transfer.

Why accurate odometer disclosure matters

Who normally completes a Vehicle Odometer Statement

Sellers, buyers, dealers, and title agents commonly complete odometer statements during vehicle transfers.

  • Private sellers: Provide mileage disclosure when transferring title to a buyer.
  • Dealers and brokers: Record odometer readings on retail and wholesale transfers to comply with state rules.
  • DMV/title agents: Use the statement to process registration and detect inconsistencies.

Accurate completion streamlines registration, reduces processing delays, and supports enforcement in cases of suspected odometer tampering.

Step-by-step: filling and signing a Vehicle Odometer Statement

Follow these steps in order to ensure a complete and legally usable odometer disclosure.

  • 01
    Verify VIN: Confirm the 17-character VIN matches the vehicle title and registration.
  • 02
    Record mileage: Read and enter the odometer in whole miles on the form.
  • 03
    Enter parties: Add full legal names for seller and buyer as on IDs.
  • 04
    Sign and date: Seller signs; buyer signs if required; include notary if applicable.

Quick checklist for completing the statement

Use this condensed grid to confirm required items before submission.

01

VIN:

Enter exact 17-character VIN.
02

Odometer:

Whole miles only; indicate actual/not actual.
03

Names:

Full legal names for all parties.
04

Date:

MM/DD/YYYY format.
05

Signatures:

Seller signs; include buyer if required.
06

Notary:

Add notarization when state law requires it.

Common questions and answers about the Vehicle Odometer Statement

Answers to frequent issues that arise when preparing or submitting an odometer disclosure.


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Essential sections every professional odometer statement includes

A complete Vehicle Odometer Statement combines identity, vehicle data, mileage disclosure, signatures, and authentication elements required by registries and buyers.

Vehicle data

VIN, make, model, and year clearly stated to tie the mileage to a specific vehicle and avoid misidentification.

Odometer reading

Current mileage entered in whole miles with a clear marker if the reading is not actual or exceeds odometer limits.

Disclosure statement

A concise declaration that the mileage reflects the odometer reading as of the disclosure date and whether it is accurate.

Party information

Full legal names and addresses for seller and buyer so the disclosure links to title and registration records.

Signatures

Signature blocks for seller and buyer; date fields; electronic signature provisions where allowed by law.

Authentication

Notary block or witness lines when required by state law, plus space for additional notes or odometer exceptions.

Recordkeeping and security notes for odometer disclosures

Encryption: AES-256 at rest
Transport security: TLS 1.2/1.3 in transit
Audit trail: Timestamp and IP captured
Regulatory standards: ESIGN and UETA compliance
Healthcare note: HIPAA BAA available
Accessibility: WCAG 2.0 Level AA

Key risks and penalties tied to incorrect odometer statements

Civil fines: Monetary penalties
Criminal liability: Felony for intentional tampering
Title rejection: Registration delays
Buyer remedies: Rescission or damages
Repair costs: Inspection and repair claims
Insurance denial: Coverage disputes possible

Common preparation mistakes to avoid

  • Entering mileage with tenths or decimals instead of whole miles, which can cause processing errors and misinterpretation.
  • Failing to match seller name to the title record, triggering DMV rejection or additional identity verification steps.
  • Skipping the VIN check and relying on partial VINs, increasing the risk of linking the disclosure to the wrong vehicle.
  • Omitting notarization or witness lines when state law requires them, leading to rejected transfers or processing delays.

Typical digital workflow for an odometer disclosure

A digital workflow reduces paper handling while preserving a verifiable audit trail for the disclosure.

  • Upload document: Sender uploads PDF or form to the platform.
  • Place fields: Add VIN, mileage, signature, and date fields.
  • Signers authenticate: Email, SMS, or stronger methods establish signer identity.
  • Complete and archive: Signed copy plus audit trail stored for retrieval.

Technical requirements for eSigning and storing odometer statements

Choose a platform supporting PDF and DOCX, audit trails, and secure storage to maintain evidentiary value.

  • File formats: PDF, DOCX supported
  • Integrations: Salesforce, NetSuite, Google Workspace
  • Authentication: Email, SMS, or advanced options

Verify that the selected platform supports required legal features such as tamper-evident storage, export in PDF/A, and audit logs for potential DMV or consumer disputes.

Recommended form and workflow settings

Apply these settings to reduce errors and speed DMV processing when using a digital form.

Field Configuration
VIN field Require 17 characters
Odometer field Numeric, whole miles only
Date field MM/DD/YYYY required
Signature field Require signature and date

Typical use cases for Vehicle Odometer Statements

Concrete examples show when and how odometer disclosures are used in real transactions.

Private sale example

A seller records mileage and signs the disclosure at sale

  • Buyer initials to acknowledge
  • The form is attached to the title application and retained for at least three years to defend against later disputes.

Dealer trade-in example

A dealer completes a disclosure during trade-in intake

  • Odometer reading is logged in inventory
  • The record is archived with repair and service history to support future resale and to comply with dealer reporting requirements.

Practical tips for accurate and efficient odometer disclosures

Follow standard practices to minimize processing time and legal exposure when preparing the statement.

Double-check VIN
Verify the VIN against the vehicle, title, and registration to avoid mismatches that block processing.
Photograph odometer
Take a dated photo of the odometer display at signing to support the recorded reading.
Keep copies
Provide copies to buyer and seller and retain the original in your records for the retention period.
Verify local rules
Confirm whether your state requires notarization, witness signatures, or specific wording on the disclosure.

Comparing eSignature vendor pricing and capabilities for odometer disclosures

Basic plan and capability comparisons to help assess eSignature options for preparing and signing Vehicle Odometer Statements.

signNow DocuSign Adobe Sign PandaDoc HelloSign
Starting Price $8/user/mo $15/user/mo $14/user/mo $19/user/mo $15/user/mo
Free Trial 7-day free trial Varies by plan Varies by plan Varies by plan Varies by plan
Bulk Send Yes Yes Yes Yes No
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes Yes Yes No No
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