Overview
An Odometer Disclosure Statement is a federally required document used during the sale or transfer of a motor vehicle to certify the vehicle’s mileage at the time of transfer. This protects both buyer and seller from fraud and ensures accurate reporting for titling and registration.
Use this form when you need to:
- Sell or transfer ownership of a motor vehicle
- Document the vehicle’s mileage at the time of sale
- Comply with federal and state odometer disclosure laws
- Provide accurate mileage information for DMV/title processing
What This Form Does
This statement allows you to:
- Certify the vehicle’s odometer reading
- Declare whether the mileage is actual, exceeds mechanical limits, or is not accurate
- Identify the buyer, seller, and vehicle
- Provide a legally compliant mileage disclosure for title transfer
Who Should Use This Form
This form is commonly used by:
- Private vehicle sellers
- Buyers completing a vehicle purchase
- Dealerships
- Anyone transferring ownership of a car, truck, motorcycle, or other motor vehicle
When to Use It
Use an Odometer Disclosure Statement when:
- Selling or buying a used vehicle
- Transferring a vehicle title
- Completing a DMV registration after purchase
Avoid using this form if:
- The vehicle is exempt (typically older than a certain model year — varies by state)
- You are transferring a vehicle that does not require mileage reporting (e.g., some heavy trucks, certain off‑road vehicles)
Included in This Fillable Template
Your download includes:
- PDF version
- Editable DOCX version
- Step‑by‑step completion instructions
- Completed example
- Optional add‑on forms:
How to Fill Out This Form
1. Vehicle Information
Include:
- Year, make, and model
- Body type
- Vehicle Identification Number (VIN)
2. Odometer Reading
Record the mileage exactly as shown on the odometer at the time of transfer.
3. Mileage Certification
Choose one:
- Actual Mileage
- Mileage in Excess of Mechanical Limits
- Odometer Reading Not Actual (Warning: Odometer Discrepancy)
4. Seller Information
Provide:
- Full legal name
- Address
- Signature and date
5. Buyer Information
Provide:
- Full legal name
- Address
- Signature and date
6. Additional Notes (Optional)
Examples:
- Odometer replaced
- Known discrepancies
- Repairs affecting mileage
Related Forms
You may also need:
- Motor Vehicle Bill of Sale
- Vehicle Inspection Checklist
- Payment Receipt
- Title Transfer Checklist
- Vehicle Purchase Agreement
Frequently Asked Questions
Is this form required by law?
Yes — federal law requires mileage disclosure for most vehicle transfers.
Can I estimate the mileage?
No — the mileage must be recorded exactly as shown on the odometer.
Do both buyer and seller need to sign?
Yes — both signatures are required for validity.
Notes for Beginners
- Double‑check the VIN and mileage before signing
- Keep a copy for your records and for DMV processing
- Use this form alongside your Bill of Sale for complete documentation
Purchase to get access
- PDF version
- Editable DOCX version
- Completed example