Please rate Odometer Disclosure Statement Tn Rev. 10-21
In Section A, the seller (transferor) prints their name on the line and checks one box that best applies.
Section B: the seller (transferor) and/or buyer (transferee) complete the required information, including the date of transaction.
In Excess of Mechanical Limits: check only if digits on odometer are impossible to determine.
Not Actual Mileage: Odometer Discrepancy form must be completed, or titling transaction will be delayed.
Fines: failure to complete or providing a false statement may result in fines and/or imprisonment.
| Question | Answer |
|---|---|
| Form Name | RV-F1317001 |
| Form Length | 1 page |
| Fillable? | Yes |
| Fillable fields | 22 |
| Avg. time to fill out | 4 min |
| Edition | Rev 10-21 |
| Issuing agency | Tennessee Department of Revenue |
| Who completes it | The seller (transferor) in Section A; the seller (transferor) and/or buyer (transferee) in Section B |
| Matches the agency's file | Yes, checked October 2, 2026 |
| Other names | RV-F1317001, F1317001, Odometer Disclosure Statement, TN odometer disclosure statement, Tennessee odometer statement |
| Official source | RV-F1317001 (Rev 10-21), Tennessee Department of Revenue |
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Please rate Odometer Disclosure Statement Tn Rev. 10-21
