Odometer Mileage Statement Form PDF Details

Are you a car dealer or an individual owner who needs to document the current and past odometer readings on your vehicle? Then you've come to the right place! Here, we will provide you with all of the information necessary when completing an Odometer Mileage Statement Form. We'll start by discussing why it's important to record this information accurately and then discuss how best to do so, going into detail about what should go onto each form. With that said, let's get started by exploring in depth why having accurate records related to mileage is critical for every owners.

QuestionAnswer
Form NameOdometer Mileage Statement Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other names www.michigan.govsos0,4670,7/127/16409105SOS - The Secretary of State - Michigan

Form Preview Example

Secretary of State

Jocelyn Benson

Michigan.gov/SOS

MICHIGAN DEPARTMENT OF STATE

ODOMETER MILEAGE STATEMENT

(See Reverse Side for Leased Vehicles)

Federal law and section 233a of the Michigan Vehicle Code require that you state the

mileage in connection with the transfer of ownership. Failure to complete this form or providing false statement may result in one or more of the following: civil liability, fines and

imprisonment.

Year

Make

Model

Body style

Vehicle Identification Number

I (we) certify that the odometer reading is:

(No tenths)

 

And certify that to the best of my knowledge the odometer mileage is:

CHECK

 

 

 

Actual mileage

 

 

 

Not actual mileage - WARNING - ODOMETER DISCREPANCY

 

 

 

ONE *

 

 

 

 

 

 

Exceeds mechanical limits of odometer

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(5-digit odometer has rolled over)

 

 

 

 

* Note: Mileage cannot be corrected at a later date.

Name of seller(s) (Please print)

Address

City

State

Zip code

 

 

 

Signature(s) of seller(s)

 

Date

X

Name of purchaser(s) (Please print)

Address

City

State

Zip code

“I am aware of the above odometer certification made by the seller(s).”

Signature(s) of purchaser(s)

X

Date

BDVR-108 (08/20)

Authority granted under Public Act 300 of 1949 as amended.

Secretary of State

Jocelyn Benson

Michigan.gov/SOS

MICHIGAN DEPARTMENT OF STATE

ODOMETER MILEAGE STATEMENT

Leased Vehicles ONLY

Federal law and section 233a of the Michigan Vehicle Code require that a lessee disclose the

mileagetothelessorinconnectionwiththetransferofownership. Failuretocompletethisformor providing false statement may result in one or more of the following: civil liability, fines and imprisonment.

Year

Make

Model

Body style

Vehicle Identification Number

I (we) certify that the odometer reading is:

(No tenths)

 

And certify that to the best of my knowledge the odometer mileage is:

CHECK ONE *

Actual mileage

Not actual mileage - WARNING - ODOMETER DISCREPANCY

Exceeds mechanical limits of odometer (5-digit odometer has rolled over)

*Note: Mileage cannot be corrected at a later date.

Name of lessee(s) (Please print)

Address

City

 

State

 

Zip code

 

 

 

 

 

Signature(s) of lessee(s)

 

 

 

Date

X

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of lessor (Please print)

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

City

 

State

 

Zip code

 

 

 

 

 

Date odometer statement sent to lessee

Date received from lessee

 

 

 

 

 

 

 

 

 

 

 

Name of lessor’s agent (Please print)

 

 

 

 

 

 

 

 

 

Signature of agent

X

Date

BDVR-108 (08/20)

Authority granted under Public Act 300 of 1949 as amended.

How to Edit Odometer Mileage Statement Form Online for Free

7/127/16409105SOS - The Secretary of State - Michigan can be completed online in no time. Simply try FormsPal PDF editing tool to do the job fast. Our expert team is continuously endeavoring to enhance the editor and enable it to be much easier for people with its multiple features. Bring your experience one stage further with continually developing and amazing options we provide! To get the ball rolling, go through these simple steps:

Step 1: Click on the "Get Form" button above on this webpage to open our PDF editor.

Step 2: After you launch the file editor, you'll notice the document made ready to be filled out. Aside from filling out different blanks, you may as well perform various other actions with the Document, particularly putting on your own text, editing the initial text, adding graphics, signing the PDF, and a lot more.

This PDF form will require specific details to be filled out, thus make sure to take the time to enter what's asked:

1. To start off, when filling in the 7/127/16409105SOS - The Secretary of State - Michigan, start in the area that features the next blank fields:

Stage # 1 of submitting www.michigan.govsos0

2. Immediately after this section is completed, go to enter the applicable information in all these - City, Signatures of sellers, Name of purchasers Please print, Address, City, State, Zip code, Date, State, Zip code, I am aware of the above odometer, Signatures of purchasers, and Date.

Completing section 2 in www.michigan.govsos0

People generally make errors when completing City in this area. Be certain to re-examine what you type in right here.

3. In this stage, look at Year, Make, Model, Body style, Vehicle Identification Number, I we certify that the odometer, No tenths, And certify that to the best of my, Check one, Actual mileage, Not actual mileage WARNING, Exceeds mechanical limits of, Note Mileage cannot be corrected, Name of lessees Please print, and Address. Each of these will need to be filled out with greatest focus on detail.

Exceeds mechanical limits of, Vehicle Identification Number, and And certify that to the best of my inside www.michigan.govsos0

4. This particular part comes next with the following blanks to focus on: Name of lessor Please print, Address, City, State, Zip code, Date odometer statement sent to, Date received from lessee, Name of lessors agent Please print, Signature of agent, Date, BDVR, and Authority granted under Public Act.

State, Date, and City in www.michigan.govsos0

Step 3: Be certain that the information is accurate and press "Done" to conclude the process. Get the 7/127/16409105SOS - The Secretary of State - Michigan as soon as you register at FormsPal for a 7-day free trial. Instantly access the document from your personal cabinet, together with any edits and adjustments being automatically kept! We do not share any information you type in while completing forms at our website.

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