Form TC-891 at a glance
What it is: This form is the Motor Vehicle Division Odometer Disclosure Statement of the Utah State Tax Commission.
Who signs: Transferor's signature and Date: the Transferor signs and dates. Transferee's signature and Date: the Transferee signs and dates.
A filled-in Form TC-891 example: a private sale of a car, with both parties signing
How to fill out Form TC-891, box by box
Section 1: the transferor's information
Section 1 is Transferor Information: write the Transferor's name (print last, first, middle initial, or business name), then the Street address, City, State and ZIP Code.
Section 2: the vehicle
Section 2 is Vehicle Information: write the vehicle's Year, Make and Model, its Vehicle/Hull identification number (VIN/HIN) and its Body type.
Section 3: the odometer reading and the transferor's signature
Section 3 is the Odometer Disclosure: federal and state law require you, the Transferor, to give the transferee a written odometer disclosure statement when you transfer ownership.
Both you and the transferee must keep a legible copy of the odometer disclosure statement for at least four years.
Write the Odometer reading (no tenths).
Check Miles or Kilometers for the reading (kilometers will be converted to miles on the title).
By signing you certify that the odometer reading is (check one): the actual mileage; the mileage in excess of odometer's mechanical limits; or not the actual mileage (Warning: odometer discrepancy).
Transferor's signature and Date: the Transferor signs and dates.
Section 4: the transferee's information, signed by the transferee
Section 4 is Transferee Information: write the Transferee's name (last, first, middle initial, or business name), then the Street address, City, State and ZIP Code.
Transferee's signature and Date: the Transferee signs and dates.
Common questions about Form TC-891
Is there a penalty?
Failure to give the transferee a written odometer disclosure statement when you transfer ownership, or providing a false statement, may result in fines and/or imprisonment.
Sources
[1] Form TC-891 (Rev. 6/26), Odometer Disclosure Statement, Utah State Tax Commission, Motor Vehicle Division (the Official source link on this page).