Understanding the nuances of the TC 96-4 form is crucial for anyone involved in the leasing of a vehicle in Kentucky. Issued by the Kentucky Transportation Cabinet, Division of Motor Vehicle Licensing, this form plays a significant role in the process of vehicle titling and registration. Its primary purpose is to ensure transparency and compliance with federal laws requiring the disclosure of a vehicle's mileage upon transfer of ownership. This odometer disclosure statement is mandated to be attached to the title and registration application documents and forwarded to the county clerk’s office. A distinctive aspect of this form is its strict focus on leased vehicles, underscoring the legal obligation of the leaseholder to accurately disclose the vehicle's mileage to the lessor. Notably, the form outlines severe repercussions for failure to comply, including potential fines and imprisonment, in cases of incomplete disclosures or false statements. The procedure requires the lessee to state the vehicle's current mileage, asserting whether it is accurate, exceeds the mechanical limits, or is not reflective of the actual mileage. It also mandates the completion of identifying information about the vehicle, the lessee, and the lessor, alongside their signatures and pertinent dates, anchoring its relevance in the legal transfer and registration processes.
| Question | Answer |
|---|---|
| Form Name | Form Tc 96 4 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | lessee, how to fill out odometer disclosure statement, lessor, 2008 |
Kentucky Transportation Cabinet |
TC 96‐4 |
Division of Motor Vehicle Licensing |
02/2014 |
ODOMETER DISCLOSURE STATEMENT
(Leased Vehicle)
Attach this form to your Title and Registration application documents and forward to your County Clerk.
NOTE: Federal Law requires that the lease disclose the mileage to the lessor in connection with the transfer of ownership. Failure to complete or making a false statement may result in fines and/or imprisonment. Complete the disclosure form below and return to lessor.
I, |
, state that the odometer now reads |
||
|
|
|
|
|
(Print the name of person making disclosure.) |
|
(No tenths) |
miles and, to the best of my knowledge, reflects the actual mileage of the vehicle described below unless one of the following
statements is checked.
I hereby certify to the best of my knowledge that the odometer reading reflects mileage in excess of its mechanical limits.
I hereby certify that the odometer reading is NOT the actual mileage.
Make |
Model |
|
|
Body Type |
|
|
|||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Vehicle Identification # |
|
|
|
|
|
|
Year |
|
|
||||||
Lessee’s Name |
|
|
|
|
|
|
|
|
|
|
|
|
|
||
|
|
|
|
|
|
|
|
|
|
|
|
|
|||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Address |
|
|
|
|
City |
|
|
|
|
|
State |
|
Zip |
Lessee’s Signature ________________________________________ Date of Statement _____________________
Lessor’s Name
Address |
City |
State |
Zip |
Date Disclosure Form Sent to Lessee
Date Completed Disclosure Form Returned from Lessee
Lessor’s Signature ________________________________________ Date of Statement _____________________