As a Tennessee motorist, it's important to be aware of the odometer disclosure statement TN form. This document is required when you sell or transfer ownership of a vehicle, and is used to certify the accuracy of the odometer reading. By understanding what this form is and how to complete it, you can avoid potential complications down the road.
You'll find information about the type of form you want to submit in the table. It will show you the length of time you'll need to finish odometer disclosure statement tn, exactly what fields you need to fill in and several other specific details.
| Question | Answer |
|---|---|
| Form Name | Odometer Disclosure Statement Tn |
| Form Length | 3 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 45 sec |
| Other names | odometer statement pdf, odometer disclosure statement tennessee, tennessee department of revenue odometer disclosure statement, tn odometer disclosure form |
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
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SELLER OR TRANSFEROR’S SIGNATURE |
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DATE OF THIS STATEMENT |
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BUYER OR TRANSFEREE’S NAME (PLEASE PRINT) |
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BUYER OR TRANSFEREE’S ADDRESS |
CITY |
STATE |
ZIP CODE |
X |
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BUYER OR TRANSFEREE’S SIGNATURE |
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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
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SELLER OR TRANSFEROR’S SIGNATURE |
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DATE OF THIS STATEMENT |
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BUYER OR TRANSFEREE’S NAME (PLEASE PRINT) |
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BUYER OR TRANSFEREE’S ADDRESS |
CITY |
STATE |
ZIP CODE |
X |
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BUYER OR TRANSFEREE’S SIGNATURE |
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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 |
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DATE OF THIS STATEMENT |
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BUYER OR TRANSFEREE’S NAME (PLEASE PRINT) |
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BUYER OR TRANSFEREE’S ADDRESS |
CITY |
STATE |
ZIP CODE |
X |
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BUYER OR TRANSFEREE’S SIGNATURE |
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COUNTYCLERK