Odometer Disclosure Statement VTR-40 at a glance
What it is: The Odometer Disclosure Statement, VTR-40, states the mileage in connection with the transfer of ownership, as Federal and State Law require.
Who signs: Under SIGN, both the seller/agent and the buyer/agent sign.
A filled-in Odometer Disclosure Statement VTR-40 example: a seller discloses the odometer reading
How to fill out Odometer Disclosure Statement VTR-40, box by box
Vehicle description
Under VEHICLE DESCRIPTION, fill in the Year, Make, Body Style and Model, then the Vehicle Identification Number.
Seller certification and the two warning boxes
After I, write the Seller/Agent Name: you certify to the best of your knowledge that the odometer reading is the actual mileage of the vehicle described unless one of the following statements is checked. Enter the Odometer Reading (No Tenths).
Check box 1 only if the mileage stated is in excess of its mechanical limits.
Check box 2 only if the odometer reading is not the actual mileage; it is marked WARNING - ODOMETER DISCREPANCY.
Seller signature, firm and address
Under SIGN, the seller or agent enters the Date of Statement, the Signature of Seller/Agent and the Printed Name (Same as Signature); do not leave them blank. If titled in a firm's name, print the firm's name on the firm name line.
Fill in Street Address, City, State and Zip Code for the seller/agent. The ACKNOWLEDGMENT OF ODOMETER DISCLOSURE BY BUYER/AGENT states: I am aware of the odometer certification made by the seller/agent.
Signature of Buyer/Agent and address
Under SIGN, the buyer or agent enters the Date of Statement, the Signature of Buyer/Agent and the Printed Name (Same as Signature).
If purchased by a firm, print the firm's name on the firm name line.
Enter the Street Address, City, State and Zip Code of the buyer/agent.
Common questions about Odometer Disclosure Statement VTR-40
Is there a penalty?
Failure to complete the form or providing a false statement may result in fines and/or imprisonment. Transportation Code, §501.155, provides that falsifying information on any required statement or application is a third-degree felony.
When is this form not the right one?
This form may not be used in conjunction with title transfer documents, which comply with federal and state odometer disclosure requirements such as Texas Certificate of Titles issued on or after April 29, 1990.
Sources
[1] Odometer Disclosure Statement, VTR-40 (Rev. 11/09), as served on this page (the Official source link on this page).
