Notarized Odometer Statement PDF Details

An odometer disclosure statement helps put the vehicle’s mileage on record and lowers the chance of problems between buyers and sellers later on. Since mileage affects a car’s value and overall condition, the law requires owners to report it accurately at the time of transfer.

The form includes basic vehicle details, along with the exact mileage shown on the odometer. The registered owner must sign the document in front of a notary public. The notary doesn't inspect the car or confirm the accuracy of the mileage. Instead, they verify the signer’s identity and witness the signature.

In practice, people often use this form for private sales, title transfers, gifts, and inheritance-related transfers. Motor vehicle agencies may also request it when standard title documentation is incomplete or unavailable. That's why filling out the form correctly speeds up registration and title processing.

A typical notarized odometer disclosure statement includes:

✔️ Vehicle identification details, including the VIN.

✔️ The odometer reading at the time of transfer.

✔️ The printed name and signature of the registered owner.

✔️ The date the statement is signed.

✔️ The notary public’s signature, seal, and commission expiration.

Note! Most states require an odometer disclosure, but not a separate notarized statement every time. Some states tie notarization to the title transfer (which includes the mileage section). Examples include Ohio, Kentucky, Pennsylvania, and North Carolina (NC titles must be notarized for transfer). Other states may ask for a notarized form only in special cases, for example, missing or corrected paperwork.

QuestionAnswer
Form Name Notarized Odometer Statement
Form Length 1 page
Fillable? Yes
Fillable fields 16
Avg. time to fill out 10 min
Other names odometer disclosure statement notarized, notarized odometer statement 2026, notarized odometer statement template, federal odometer statement PDF

Form Preview Example

ODOMETER DISCLOSURE STATEMENT

I, ____________________________, a Notary Public in the state of ______________________,

in the county of _________________, have personally verified the mileage of _______________

(miles) on this__________ (year) ________________ (make) _________________ (model)

_____________________________ (VIN) belonging to ____________________________ on

this _______ day of _____________, 2015. _______________________________, owner,

personally appeared and proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to within this instrument.

__________________________________

___________________

Registered Owner

Date

S

 

E

________________________________

 

Notary Public

A

 

 

My commission expires on ____________________

L

 

How to Edit Notarized Odometer Statement Online for Free

Follow the steps below to complete your odometer disclosure statement properly.

1. Notary Information

Leave the first line blank. The notary public will fill in their name, state, and county where the notarization takes place.

part 1 to completing statement of odometer reading

2. Mileage Entry

Write the exact mileage shown on the vehicle’s odometer at the time of signing. Don't round the number or estimate.

3. Car Details

Fill in the car’s year, make, model, and full VIN exactly as they appear on the title or registration.

4. Owner Name

Write the full legal name of the registered owner in the space provided. This name must match the name on the title.

stage 2 to finishing statement of odometer reading

5. Date of Notarization

The notary will complete the date when the owner appears and signs the form.

6. Owner Signature

The registered owner must sign the form in front of the notary. Don't sign it in advance!

7. Notary Signature and Commission

The notary signs, applies their seal, and fills in their commission expiration date.

Watch Notarized Odometer Statement Video Instruction

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