Odometer Statement PDF Details

If you are a driver in the United States, then you likely have had to complete an odometer statement form at some point. While this may seem like a tedious task, it is actually required by law in most states. This form records the odometer reading of your vehicle, which is used to track its mileage and determine its value. In order to complete the form correctly, you will need to know how to read your car's odometer. In this blog post, we will discuss how to read your car's odometer and explain why this information is important. We will also provide tips for completing the odometer statement form accurately.

The listing holds specifics of the odometer statement. It's definitely worth finding the time to read through this before you start submitting your form.

Form NameOdometer Statement
Form Length1 pages
Fillable fields0
Avg. time to fill out15 sec
Other namesodometer disclosure statement pdf, toyota odometer statement, disclosure statement odometer, statement odometer disclosure

Form Preview Example


Federal law (and State law, if applicable) requires that the lessee disclose the mileage to the lessor in connection with the transfer of ownership. Failure to complete or making a false statement may result in fines and/or imprisonment. Complete disclosure form below and return to the lessor.





(Print name of person making the disclosure) state that the









Transferor's Name

odometer now reads



(no tenths) miles and:

Please check one box and sign below:

to the best of my knowledge the odometer reading reflects the actual mileage of the vehicle described below; or

I hereby certify that to the best of my knowledge the odometer reading reflects the amount of mileage IN EXCESS


I hereby certify that the odometer reading is NOT the actual mileage and should not be relied upon.







The parties agree that any facsimile transmission of this document stored by Toyota Motor Credit Corporation ("TMCC") in electronic or paper form shall constitute an original for the purposes of this statement.

Lessee's Name

Lessee's Address

(Street)(City)(State) (Zip Code)

Please Sign Here > > >


Date of Statement




(Lessee's Signature)






Lessor's Name

Lessor's Address

Signed by Lessor:

Date Disclosure Form Sent to Lessee

Date Completed Disclosure Form Received from Lessee




DMS 6047 (10/08)

How to Edit Odometer Statement Online for Free

We chose the best computer programmers to make our PDF editor. The software will let you complete the odometer statement printable document effortlessly and won't eat up a great deal of your time and effort. This easy guideline will enable you to begin.

Step 1: The first thing would be to choose the orange "Get Form Now" button.

Step 2: Now you should be on the document edit page. You can include, modify, highlight, check, cross, include or remove fields or text.

Type in the information demanded by the software to prepare the form.

stage 1 to filling in toyota odometer statement pdf

Make sure you prepare the Lessees Address, Street, City, State, Zip Code, Please Sign Here, Date of Statement, Lessees Signature, Lessors Name, Lessors Address, Signed by Lessor, and Date Disclosure Form Sent to Lessee field with the essential particulars.

Finishing toyota odometer statement pdf part 2

The program will require you to insert some relevant info to easily submit the segment Date Disclosure Form Sent to Lessee, Date Completed Disclosure Form, ORIGINAL TMCC COPY LESSEE COPY, and DMS.

stage 3 to finishing toyota odometer statement pdf

Step 3: If you're done, select the "Done" button to upload the PDF file.

Step 4: In order to prevent potential future difficulties, ensure that you have a minimum of a pair of duplicates of every document.

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