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

How to Fill Out Odometer Disclosure Statement

Odometer Disclosure Statement at a glance

What it is: On the Odometer Disclosure Statement, a Notary Public personally verified the mileage.

Notary: Under SIGN, the Notary Public signs and enters "My commission expires on".

A filled-in Odometer Disclosure Statement example: a notary verifies a mileage

Odometer Disclosure Statement example filled out, example: a notary verifies a mileage
A Notary Public completes an odometer statement for a vehicle owner. The notary verifies 48,213 miles for the owner on March 14, 2026. The picture shows both signatures, and all its values are invented.

How to fill out Odometer Disclosure Statement, box by box

The Notary Public, the state and the county

Odometer Disclosure Statement example filled out, the Notary Public, the state and the county

After "I," write the Notary Public; after "a Notary Public in the state of" write the state.

After "in the county of" enter the county, and after "have personally verified the mileage of" enter the mileage in miles.

The mileage, make, model and VIN

Odometer Disclosure Statement example filled out, the mileage, make, model and VIN

After "(miles) on this" enter the year, then the make, then the model.

Enter the VIN, then after "belonging to" enter the owner.

The owner and the day

Odometer Disclosure Statement example filled out, the owner and the day

Enter "this ___ day of ___, 20___.", then the owner before ", owner,".

The 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.

Signing: the owner and the Notary Public

Odometer Disclosure Statement example filled out, signing: the owner and the Notary Public

Under SIGN, the Registered Owner signs and enters the Date.

Under SIGN, the Notary Public signs and enters "My commission expires on".

Sources

[1] Odometer Disclosure Statement (served form; no issuer file) (the Official source link on this page).

Please rate Notarized Odometer Statement

3 Votes
If you believe this page is infringing on your copyright, please familiarize yourself with and follow our DMCA notice and takedown process - click here to proceed .