Form HSMV 82993 at a glance
What it is: The Separate Odometer Disclosure Statement and Acknowledgment is a form of the State of Florida Department of Highway Safety and Motor Vehicles, Division of Motorist Services.
Where and when to file: Copies should be exchanged between the seller and the buyer. Dealers must retain this document in their records for a period of five years. It is not necessary to file this form or any copy of this form with the State of Florida, unless requested to do so by the Division of Motorist Services. HSMV 82993 (REV. 1/11)
Any person who is buying or selling a motor vehicle and who must make or acknowledge an odometer disclosure, in order to comply with state or federal odometer disclosure law, is authorized to complete this form.
A filled-in Form HSMV 82993 example: a seller reports a 6 digit odometer reading
How to fill out Form HSMV 82993, box by box
Vehicle description
Under VEHICLE DESCRIPTION, enter the Vehicle Identification Number, Year, Make, Color, Body and Title Number.
Odometer reading
Mark 5 or 6 DIGIT ODOMETER and enter what the odometer now reads in miles (no tenths). Enter the date read.
What the odometer reading is
Check a box for the odometer reading. Box 1 is for a reading that reflects actual mileage. Read carefully before checking a box.
2. Is in excess of its mechanical limits (excess of its mechanical limits applies to 5 digit odometers).
Seller, box 3: Is not the actual mileage. Warning, odometer discrepancy.
Seller
By signing, the seller declares, under penalties of perjury, that they have read the document and that the facts stated in it are true. Enter the Seller's Signature and Seller's Printed Name. Do not leave them out. Enter the Seller's Street Address, City, State and Zip.
Buyer
Enter the Buyer's Signature and the Buyer's Printed Name.
Enter the Buyer's Street Address, City, State and Zip.
More rules for Form HSMV 82993
Use this form when a motor vehicle, for which an odometer disclosure is required, has been sold. Use this form when a motor vehicle, for which an odometer disclosure is required, has been purchased. Use this form when an odometer disclosure statement and acknowledgment between the buyer and the seller is required, but no odometer disclosure statement has been made on another state or federal form.
Federal and State law requires that you state the mileage in connection with an application for a Certificate of Title.
Common questions about Form HSMV 82993
Where do I file it?
Submit this form to your local tax collector office.
Is there a penalty?
Failure to complete or providing a false statement may result in fines and/or imprisonment.
When is this form not the right one?
Do not use this form when a Florida title which was issued on or after April 29, 1990 is available. Do not use this form when a Form HSMV 82994, Motor Vehicle Dealer Title Reassignment Supplement, has been used. Do not use this form when a Form HSMV 82995, Motor Vehicle Dealer Power of Attorney/Odometer Disclosure, has been used. Do not use this form when an out-of-state title, which conforms to federal law, is used to transfer a motor vehicle.
Sources
[1] Form HSMV 82993 (REV. 1/11), Separate Odometer Disclosure Statement and Acknowledgment, State of Florida Department of Highway Safety and Motor Vehicles (the Official source link on this page).
