Odometer Statement Disclosure 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.

QuestionAnswer
Form NameOdometer Statement
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesodometer disclosure statement, odometer disclosure statement printable, toyota odometer statement, disclosure statement odometer

Form Preview Example

LESSEE'S ODOMETER DISCLOSURE STATEMENT

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.

I,

 

 

 

(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

OF ITS MECHANICAL LIMITS; OR

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

MAKE

MODEL

ACCOUNT NUMBER

BODY TYPE

VEHICLE IDENTIFICATION NUMBER

YEAR

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

ORIGINAL - TMCC

COPY - LESSEE COPY

COPY - DEALER COPY

DMS 6047 (10/08)