Odometer Disclosure Statement Tn PDF Details

When the time comes to transfer the ownership of a vehicle in Tennessee, a crucial document needs to be completed: the Odometer Disclosure Statement. This document, required both by federal and state law, plays a vital role in ensuring transparency during the sale or transfer of a vehicle. It requires the seller or transferor to accurately state the mileage of the vehicle being sold. This is not just a formality; it's a safeguard against odometer fraud, which can significantly affect a vehicle's value and a buyer's decision. The form entails the seller certifying the odometer reading as accurate, unless it’s beyond the mechanical limits of the odometer or there’s a discrepancy. It's a straightforward document but carries significant weight, as failing to complete it fully and truthfully can lead to fines and even imprisonment. With sections for detailed vehicle information, including make, model, and VIN, plus both the seller's and buyer's printed names and signatures, this official form from the Tennessee Department of Revenue ensures that all parties acknowledge the vehicle’s mileage at the time of sale, protecting interests and maintaining trust in vehicle transactions.

QuestionAnswer
Form NameOdometer Disclosure Statement Tn
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namestennessee odometer disclosure statement, blank odometer disclosure statement, tn odometer discrepancy form, tennessee odometer disclosure

Form Preview Example

TENNESSEE DEPARTMENT OF REVENUE

ODOMETER DISCLOSURE STATEMENT

FEDERAL and STATE LAW requires that you state the mileage in connection with the transfer of ownership. Failure to complete or providing a false statement may result in fines and/or imprisonment.

I,

SELLER OR TRANSFEROR’S NAME (PLEASE PRINT)

certify to the best of my knowledge that the odometer reading on the vehicle described below is the actual mileage of the vehicle unless one of the following statements is checked:

ODOMETER READING (NO TENTHS)

1 I hereby certify that the mileage stated is in excess of the mechanical limits of the odometer.

2 The odometer reading is not the actual mileage. WARNING - ODOMETER DISCREPANCY.

MAKE

MODEL

BODY TYPE

VEHICLE IDENTIFICATION NUMBER

YEAR

SELLER OR TRANSFEROR’S ADDRESS CITYSTATEZIP CODE

X

 

SELLER OR TRANSFEROR’S SIGNATURE

 

DATE OF THIS STATEMENT

 

 

 

 

 

 

 

BUYER OR TRANSFEREE’S NAME (PLEASE PRINT)

 

 

 

 

 

 

 

 

 

BUYER OR TRANSFEREE’S ADDRESS

CITY

STATE

ZIP CODE

X

 

 

 

 

 

BUYER OR TRANSFEREE’S SIGNATURE

 

 

 

RV-F1317001 (Rev. 4-05)

RDA-692

VEHICLE SERVICES DIVISION

TENNESSEE DEPARTMENT OF REVENUE

ODOMETER DISCLOSURE STATEMENT

FEDERAL and STATE LAW requires that you state the mileage in connection with the transfer of ownership. Failure to complete or providing a false statement may result in fines and/or imprisonment.

I,

SELLER OR TRANSFEROR’S NAME (PLEASE PRINT)

certify to the best of my knowledge that the odometer reading on the vehicle described below is the actual mileage of the vehicle unless one of the following statements is checked:

ODOMETER READING (NO TENTHS)

1 I hereby certify that the mileage stated is in excess of the mechanical limits of the odometer.

2 The odometer reading is not the actual mileage. WARNING - ODOMETER DISCREPANCY.

MAKE

MODEL

BODY TYPE

VEHICLE IDENTIFICATION NUMBER

YEAR

SELLER OR TRANSFEROR’S ADDRESS CITYSTATEZIP CODE

X

 

SELLER OR TRANSFEROR’S SIGNATURE

 

DATE OF THIS STATEMENT

 

 

 

 

 

 

 

BUYER OR TRANSFEREE’S NAME (PLEASE PRINT)

 

 

 

 

 

 

 

 

 

BUYER OR TRANSFEREE’S ADDRESS

CITY

STATE

ZIP CODE

X

 

 

 

 

 

BUYER OR TRANSFEREE’S SIGNATURE

 

 

 

RV-F1317001 (Rev. 4-05)

RDA-692

OWNER

TENNESSEE DEPARTMENT OF REVENUE

ODOMETER DISCLOSURE STATEMENT

FEDERAL and STATE LAW requires that you state the mileage in connection with the transfer of ownership. Failure to complete or providing a false statement may result in fines and/or imprisonment.

I,

SELLER OR TRANSFEROR’S NAME (PLEASE PRINT)

certify to the best of my knowledge that the odometer reading on the vehicle described below is the actual mileage of the vehicle unless one of the following statements is checked:

ODOMETER READING (NO TENTHS)

1 I hereby certify that the mileage stated is in excess of the mechanical limits of the odometer.

2 The odometer reading is not the actual mileage. WARNING - ODOMETER DISCREPANCY.

MAKE

MODEL

BODY TYPE

VEHICLE IDENTIFICATION NUMBER

YEAR

SELLER OR TRANSFEROR’S ADDRESS CITYSTATEZIP CODE

X

 

SELLER OR TRANSFEROR’S SIGNATURE

 

DATE OF THIS STATEMENT

 

 

 

 

 

 

 

BUYER OR TRANSFEREE’S NAME (PLEASE PRINT)

 

 

 

 

 

 

 

 

 

BUYER OR TRANSFEREE’S ADDRESS

CITY

STATE

ZIP CODE

X

 

 

 

 

 

BUYER OR TRANSFEREE’S SIGNATURE

 

 

 

RV-F1317001 (Rev. 4-05)

RDA-692

COUNTYCLERK

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Step 1: On the following page, press the orange "Get form now" button.

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Prepare the odometer disclosure statement tn PDF by typing in the details needed for every single section.

tennessee odometer disclosure statement gaps to complete

Make sure you write down the necessary details in the SELLER OR TRANSFERORS SIGNATURE, DATE OF THIS STATEMENT, BUYER OR TRANSFEREES NAME PLEASE, BUYER OR TRANSFEREES ADDRESS, CITY, STATE, ZIP CODE, BUYER OR TRANSFEREES SIGNATURE, RVF Rev, VEHICLE SERVICES DIVISION, and RDA field.

Completing tennessee odometer disclosure statement step 2

Focus on the crucial information on the FEDERAL and STATE LAW requires, SELLER OR TRANSFERORS NAME PLEASE, certify to the best of my, ODOMETER READING NO TENTHS, MAKE, I hereby certify that the mileage, The odometer reading is not the, MODEL, BODY TYPE, VEHICLE IDENTIFICATION NUMBER, and YEAR section.

stage 3 to completing tennessee odometer disclosure statement

The SELLER OR TRANSFERORS SIGNATURE, DATE OF THIS STATEMENT, BUYER OR TRANSFEREES NAME PLEASE, BUYER OR TRANSFEREES ADDRESS, CITY, STATE, ZIP CODE, BUYER OR TRANSFEREES SIGNATURE, RVF Rev, OWNER, and RDA area allows you to identify the rights and obligations of either side.

Entering details in tennessee odometer disclosure statement stage 4

End by checking the following fields and submitting the proper data: FEDERAL and STATE LAW requires, SELLER OR TRANSFERORS NAME PLEASE, certify to the best of my, ODOMETER READING NO TENTHS, MAKE, I hereby certify that the mileage, The odometer reading is not the, MODEL, BODY TYPE, VEHICLE IDENTIFICATION NUMBER, and YEAR.

stage 5 to finishing tennessee odometer disclosure statement

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