How to Fill Out Form VR-197

Form VR-197 at a glance

What it is: The Odometer Disclosure Statement: Federal and State law requires that you state the mileage in connection with the transfer of ownership.

Who signs: The seller signs at Seller's Signature and enters the Seller's Printed Name. The buyer signs at Buyer's Signature and enters the Buyer's Printed Name.

A filled-in Form VR-197 example: a seller discloses the mileage

Form VR-197 example filled out, example: a seller discloses the mileage
Jane Sample fills out the Odometer Disclosure Statement as the seller and John Example is the buyer. The odometer shows 48210 miles, the actual mileage, so the discrepancy statement boxes stay empty. The picture shows the whole page, and all its values are invented.

How to fill out Form VR-197, box by box

Mileage and discrepancy statements

Form VR-197 example filled out, mileage and discrepancy statements

After "I," print the seller's name; the seller certifies to the best of that knowledge that the odometer reading is the actual mileage of the vehicle unless one of the following statements is checked.

Enter the miles, with no tenths. The odometer reading is the actual mileage unless one is checked: "The mileage stated is in excess of its mechanical limits" or "The odometer reading is not the actual mileage. Warning - odometer discrepancy".

The vehicle

Form VR-197 example filled out, the vehicle

Enter the Make, the Model and the Year.

Enter the Body Type and the Vehicle Identification No.

The seller

Form VR-197 example filled out, the seller

Enter the Seller's Street Address, then the City, the State and the Zip Code.

Enter the Date of Statement.

The buyer

Form VR-197 example filled out, the buyer

Enter the Buyer's Street Address, then the City, the State and the Zip Code.

More rules for Form VR-197

The copies are the White Copy - MVA, the Canary Copy - Seller and the Pink Copy - Buyer.

For more information, visit www.mva.maryland.gov or call 410-768-7000. TTY for the hearing impaired: 1-800-492-4575.

Common questions about Form VR-197

Is there a penalty?

Failure to complete or providing a false statement may result in fines and/or imprisonment.

Sources

[1] Form VR-197 (06-17), Odometer Disclosure Statement, Maryland Motor Vehicle Administration (the Official source link on this page).

Form VR-197 PDF Details

Failure to complete or providing a false statement may result in fines and/or imprisonment.

Seller certifies: to the best of the seller's knowledge, the odometer reading is the actual mileage of the vehicle unless one of the following statements is checked.

Statements: the form lists “The mileage stated is in excess of its mechanical limits” and “The odometer reading is not the actual mileage.”

Signatures: the form has lines for the Seller's Signature and the Buyer's Signature, and a Date of Statement.

Each copy: the white copy goes to MVA, the canary copy to the seller and the pink copy to the buyer.

QuestionAnswer
Form NameForm VR-197
Form Length1 page
Fillable?Yes
Fillable fields20
Avg. time to fill out4 min
EditionRev 06-17
More informationVisit www.mva.maryland.gov or call 410-768-7000; TTY for the hearing impaired: 1-800-492-4575
Other namesVR-197, VR197, VR 197, MVA VR-197, Maryland odometer statement, Odometer Disclosure Statement
Official sourceForm VR-197 (Rev 06-17), Maryland Motor Vehicle Administration