Odometer Statement – Fill Out and Use This PDF

Updated: Nov 12, 2026

The Odometer Statement form is a crucial document that records a vehicle's mileage at the time of ownership transfer. This form, mandated by federal and, when applicable, state laws, necessitates that the lessee report the mileage to the lessor to ensure transparency and honesty in the transaction. Failure to accurately complete this form can lead to serious legal consequences, including fines or imprisonment.

To ensure compliance and avoid potential legal issues, individuals engaging in the transfer of vehicle ownership should carefully fill out the Odometer Statement form. Click the button below to fill out the form accurately and securely.

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Odometer Statement PDF Details

When it comes to selling, buying, or transferring the ownership of a vehicle, the Odometer Statement form plays a pivotal role in ensuring the transaction is both transparent and accurate in terms of disclosing the vehicle's mileage. This requirement, underscored by federal and, where applicable, state law, safeguards all parties involved from potential fraud related to odometer tampering. Highlighting the commitment to honesty, the form necessitates the lessee to accurately report the vehicle's mileage to the lessor, stating whether the mileage shown is the vehicle's actual mileage, is beyond its mechanical limits, or if it should not be relied upon as accurate. The form comprises critical information including but not limited to the make, model, body type, year, and the crucial vehicle identification number (VIN). It necessitates the lessee's and lessor's names, addresses, and signatures, ensuring that the document can be legally upheld. Additionally, the form acknowledges the validity of electronic or facsimile transmissions, which can be treated as original documents by entities such as the Toyota Motor Credit Corporation. Thus, the Odometer Statement form serves as an integral document that prevents falsification and encourages full disclosure, offering peace of mind and legal protection for both the lessor and lessee.

Question	Answer
Form Name	Odometer Statement
Form Length	1 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	15 sec
Other names	odometer disclosure statement pdf, toyota odometer statement, disclosure statement odometer, statement odometer disclosure

How to Fill Out Lessee's Odometer Disclosure Statement DMS 6047

Lessee's Odometer Disclosure Statement DMS 6047 at a glance

What it is: 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.

Who signs: The lessee signs on the line marked Please Sign Here as the Lessee's Signature.

A filled-in Lessee's Odometer Disclosure Statement DMS 6047 example: a lessee discloses the mileage

Lessee's Odometer Disclosure Statement DMS 6047 example filled out, example: a lessee discloses the mileage — Dana Sample, a lessee, fills out the Lessee's Odometer Disclosure Statement. The odometer reads 45210 miles, so Dana checks the box that it reflects the actual mileage. The picture shows the whole form and every value in it is made up. Nothing goes in the other two Check one box boxes because the form says to check one box.

How to fill out Lessee's Odometer Disclosure Statement DMS 6047, box by box

Your name and the odometer reading

After I, print the name of the person making the disclosure, and enter the odometer reading, with no tenths, in miles after odometer now reads (the PDF names this box Transferor's Name).

Check one box

Check one box and sign the form.

Check this box if, to the best of your knowledge, the odometer reading reflects the actual mileage of the vehicle described.

Check this box if, to the best of your knowledge, the odometer reading reflects the amount of mileage in excess of its mechanical limits.

Check this box if the odometer reading is NOT the actual mileage and should not be relied upon.

The vehicle

Enter the Make, Model, Account Number, Body Type, Vehicle Identification Number and Year of the vehicle.

The lessee and the signature

Enter the Lessee's Name and the Lessee's Address: Street, City, State and Zip Code.

Enter the Date of Statement.

Under Federal law (and State law, if applicable), failure to complete the disclosure to the lessor or making a false statement may result in fines and/or imprisonment.

The lessor and the dates

Where Federal law (and State law, if applicable) requires the lessee to disclose the mileage to the lessor, complete the disclosure form and return it to the lessor.

Enter the Lessor's Name and the Lessor's Address; the lessor signs on Signed by Lessor.

Enter the Date Disclosure Form Sent to Lessee and the Date Completed Disclosure Form Received from Lessee.

More rules for Lessee's Odometer Disclosure Statement DMS 6047

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.

Sources

[1] DMS 6047 (10/08), Lessee's Odometer Disclosure Statement, Toyota Motor Credit Corporation (the Official source link on this page).