In accordance with federal and state law, the seller of a motor vehicle must disclose the current mileage to a purchaser in writing upon transfer of ownership. R. Pursuant to his authority under Act 527 of 1975 as" amended Ark. 100 North Senate Avenue, Room N411. If you what or what to use the separate state-approved fillable Hindi Odometer Disclosure Statement Form 43230, this form is composed away four sections. Most states have an Odometer Disclosure Statement that will allow you to report any type of odometer discrepancy. Share your form with others. The final rule similarly changes the heading for § 580. 02. If the seller knows that the car’s mileage is incorrect, the document must contain that information. Proposed § 580. F. It must also show the year, make and model of the vehicle, the buyer’s name and address, and the signatures of both the buyer and seller. Lien Release– if liens are shown on vehicle title) Title Application (MVR-1) 1. The law requires the seller to certify the odometer reading and condition as. R. The disclosure must be signed by the seller, including the. Indiana Bureau of Motor Vehicles Central Office Title Processing . Disclosure must be entered on the title. All trailers and motor vehicles weighing over 16,000 pounds are exempt. Affidavit of Police Officer/Physical Inspection of an Indiana Resident's Vehicle (Form 39530). INDIANA BUREAU OF MOTOR VEHICLES. 225 Transfer and reassignment forms; odometer disclosure statements. The immediate impact is that 2011 vehicles will not become odometer exempt on Jan. Please use only blue or black ink to. If the title does not include this section for this purpose, the seller may record the mileage on an odometer statement on a form available from DMV. Indiana Odometer Publication Statement Fill. Be sure to file these three forms in every used car deal folder to maintain vehicle disclosure compliance. A law enforcement officer or licensed agent must complete this. ) The Date of Sale is incorrect. Transferor's Name odometer now reads Please check one box and sign below: (Print name of person making the disclosure) state that the (no tenths) miles and. New-to-state Indiana residents will have to get a vehicle inspection and take extra steps if there is a lien hold on the vehicle title. For vehicles that are less than 20 years old, a written and signed odometer disclosure statement is required of the seller in order to transfer ownership. 4, this form is composed of three sections. ☐ Affidavit of Restoration for a Salvage Motor Vehicle – State Form 44606 Beginning January 1, 2021 - when you sell or transfer a motor vehicle with a model year 2011 or newer - you must include the actual odometer mileage on the odometer disclosure statement. Motor Vehicles. And if the mileage is known to be incorrect, it must be. F. free odometer disclosure statement form. Odometer Disclosure Statement – State Form. The Odometer Disclosure Statement includes dedicated spaces for the vehicle description, buyer and seller details, and the odometer reading. C. § 20-347. when a motor vehicle, for which an odometer disclosure is required, has been sold. LEASED VEHICLE ODOMETER DISCLOSURE NOTICE AND STATEMENT If you are purchasing from or returning to a dealership: If you are purchasing the vehicle from GM Financial: 1. The suit claims Flexible Auto Sales LLC and its owner, John Allen, rolled back odometers on vehicles sold to at least 43 customers. North Carolina Odometer Disclosure Statement Mail Mvr180. Odometer Disclosure Statement – State Form 43230. 3. what are my rights if odometer disclosure statement incorrect. We recommend that you complete this generic federal Odometer Disclosure Statement Form in addition to the state required title, separate form. 12. The Odometer Reading or Brand is incorrect. One federal furthermore state laws require the sold to disclose the current odometer mileage for any drive. 580. 03. The federal Truth in Mileage Act (TIMA) requires motor vehicle sellers provide an odometer disclosure statement at the time of sale or transfer of ownership. Failure to complete or providing a false statement may result in fines and/or imprisonment. Vehicle purchased from an individual or donated or gifted. Would a mercedes benz dealer or. Odometer Disclosure Statement State Form 43230. The followers types of vehicles are exclude from odometer disclosure requirements in the State of Indiana: vehicles prototype yearly 2010 or older, transport over 16,000 pounds, low-speed vehicles (LSV),. National Highway Traffic Safety Administration (NHTSA) Tenn. How to complete an Indiana Bill of Sale Form. Below you can find a generic Federal Odometer Disclosure Statement Form as a fillable PDF. Below you canister find the India state-approved fillable PDF form for your use. Seller guarantees that the property is his/her own and is free of all claims and offsets of any kind. Title Application (MVR-1)1; Odometer Disclosure Statement (MVR-180)2. Trans 154. ☐ Mobile Home Permit – State Form 7878 (if a manufacturedhome). The disclosure must be signed by the seller, including the printed name. When you purchase or sell a vehicle, you may need to have an odometer disclosure statement to detail the odometer reading at the time of the transfer. Sign it in a few clicks. General Affidavit (Form 37964) for parts you didn’t have to buy to repair/rebuild your car. odometer disclosure statement missouri. The disclosure must be signed by the seller,. You can visit our website to get more details on the Indiana odometer. Title: Understanding Odometer Statement Forms for Food Stamps: Types and Importance Introduction: The Odometer Statement Form holds significant importance when applying for food stamps, as it helps determine the eligibility of an applicant based on income and. Under the old odometer disclosure requirements, a 2011 vehicle would have become exempt from disclosure in 2021. Odometer Disclosure Statement Nh 2017-2023. The disclosure must be signed by the seller, including the printed name. 02. Odometer Disclosure Statement: PDF Word: BMV 3751: Titles: Minor Consent Form: PDF Word: BMV 3754: Titles: Ownership Assignment and Title Application for Insurance Companies : PDF. Damage Disclosure Statement (MVR-181) Highway-Use Tax Exemption Certificate (MVR-613) 1 – if being transferred between. Timely transmission to NHTSA's Office of Odometer Fraud Investigations staff of information about case. Back Close. § 4-90-201 et seq. (NOTE: Do not write in tenths of miles. Indiana Odometer Disclosure Statement Form. The out-of-state title in your name. Please how one blue oder black ink to complete it. Seller guarantees that the property is his/her own and is free of all claims and offsets of any kind. The disclosure must be signed by the seller, including the printed name. May be completed by the court appointed owner. Step 6. Please email CPB at Consumer. However, vehicles ten years and older are exempt from this requirement. Please use only blue or black ink to complete he. If you needs or want on use that separate state-approved fillable Indiana Odometer Disclosure Statement Form 43230, this contact is composed starting four sections. )An Odometer Disclosure Statement is a legally binding document that provides an accurate mileage on the odometer at the time the car changes hands from the seller to the purchaser. Trailers and vehicles over 16,000 pounds are exempt. It could also mean that someone intentionally tampered with the odometer to change the mileage of the vehicle. The disclosure must be signed by the seller,. Find more details below. NHTSA estimates that more than 450,000 vehicles are sold each year with false odometer readings. Second St. You can get this form from the Texas Department of Motor Vehicles (DMV) website or at a. disclosure statement. Please utilize only blue or black autograph until. (NOTE: Do not write in tenths of miles. Title: Microsoft Word - 48-7104. Seller guarantees that the property is his/her own and is free of all claims and offsets of any kind. The disclosure must be signed by the seller, including the. The Transferor/Seller appoints the Attorney-In-Fact above to sign all papers. 3. All trailers and motor vehicles over 16 000 lb. ODOMETER DISCLOSURE STATEMENT. Click on New Document and choose the file importing option: add Printable odometer statement from your device, the cloud, or a secure link. If your vehicle is a model year 2011 or newer, or is otherwise not exempt from mileage disclosure, write in the odometer reading - even if you sell to a family member. If you take an interest in Modify and create a Odometer Disclosure Statement Indiana, here are the step-by-step guide you need to follow: Hit the "Get Form" Button on this page. gov. Vehicles exempt from the written disclosure include cars that are model year 2010 or older. Lower you sack find the Indiana state-approved fillable PDF form for your use. On a California vehicle title, the box underneath the two stacked signatures is provided specifically for the odometer disclosure statement. Failure to complete or providing a false statement may result in fines and or imprisonment. 6 miles, you would disclose 118,666 miles on the title. ODOMETER DISCLOSURE STATEMENT. Court Ordered Title Forms and Instructions. The final rule similarly changes the heading for § 580. The consultation is free. 580. Fill Out The Odometer Disclosure Statement - Indiana Online And Print It Out For Free. INSTRUCTIONS: 1. Lienholder or lease documents, if applicable. Bill of sale: When you sell your car in Kentucky, you will be responsible for giving the buyer a completed bill of sale. 12/15) in other situations and when you want. This. Indiana. State Form 43230 (R3 / 5-13). Making use of US Legal Forms not merely helps save from headaches regarding lawful papers; furthermore, you don’t waste time and energy, and. § 32701, provides for $10,000 minimum damages, treble damages, and attorney fees for odometer tampering, mis-disclosure of information on vehicle title documents, certain. 05. PDF. Powerful Remedies. Justia › US Law › US Codes and Statutes › Indiana Code › 2022 Indiana Code › Title 9. Learn how to apply for a certificate of title and odometer disclosure statement for a vehicle or watercraft from a different state in Indiana. 6 (b) through (h). Odometer / Mileage Disclosure Statement: Complete the information below : Federal law (and State law, if applicable) requires that the lessee disclose the mileage to the lessor in connection with the transfer of ownership. When an odometer mileage disclosure statement is required, the information must be provided by the seller, not the buyer. If the odometer information isn't filled out on the title, provide an Odometer Disclosure Statement (Form 43230). Odometer Disclosure Statement State Form 43230. Required for vehicles purchased outside of Indiana. The 2023 Florida Statutes. Complete the current odometer mileage by using only digits without tenths. 124 and Title 49 of the Code of Federal Regulations (C. They shall retain allIn certain cases you may also use the state-approved form to complete the odometer disclosure statement. It is mandatory for all used vehicles under 10 years old, with a gross weight of 16,000 lbs or less. Please use only blue or black ink to. You can’t legally complete the sale of a vehicle in Alabama with an odometer disclosure. mo. 580. Below yourself can find the Indiana state-approved fillable PDF art for your use. ODOMETER DISCLOSURE STATEMENT State Form 43230 (R / 2-97) ODOMETER DISCLOSURE STATEMENT State Form 43230 (R / 2-97) STATE OF INDIANA BUREAU OF MOTOR VEHICLES We, the undersigned, swear of affirm that the information entered on this form is correct. Federal law and State law requires that you state the mileage upon transfer of ownership. S. Howe…☐ Physical Inspection of a Vehicle or Watercraft – State Form 39530. L. If you think you have been a victim of odometer fraud, contact Allen Stewart. A change in federal regulations that took effect on Jan. ☐ Odometer Disclosure Statement – State Form 43230 (only required if odometer statement is not completed on the certificate of title or certificate or origin). ☐ If vehicle is transferring ownership, the odometer statement must be completed on certificate of salvage title or a completedOdometer. Indiana Attorney General Todd Rokita on Friday announced a lawsuit against a car dealer in LaGrange County. 49 CFR §§ 580. Get Form Open the form. “Clocking” an odometer is a misdemeanor under Georgia law. 7 Disclosure of odometer information for leased motor vehicles. Illinois state-approved fillable PDF form for your use. Why is mileage disclosure declaration is necessary. Draw your signature, type it, upload its image, or use your mobile device as a signature pad. Indiana residents who have purchased a vehicle or watercraft from a dealer located in a different state may mail their application for. Before you start filling out the Odometer Disclosure Statement, you’ll need to make sure you have the correct form. Must be completed by the County Treasurer. Odometer Disclosure Statement (Form 43230). 32705(a) and . Code Ann. (a) Requires the transferor of a motor vehicle transferred, rather than the seller of a motor vehicle sold, in this state, except as provided by Subsection (c), to provide to the transferee, rather than buyer, a disclosure of the vehicle's odometer reading at the time of the transfer in compliance with 49 U. Download the application checklist, forms, and fees from the BMV website. I certify that, to the best of my knowledge, the above-listed odometer reading reflects the amount of mileage IN EXCESS OF ITS MECHANICAL LIMITS. The disclosure must be signed by the seller, including the printed name. An odometer disclosure statement declares the mileage on your vehicle. Odometer Disclosure Statement; Get your title. In the State of Maine you should complete also the Maine Odometer Disclosure Statement Form – Form MVT-32 (Rev. INSTRUCTIONS: 1. In accordance with. 4-4. when a motor vehicle, for which an odometer disclosure is required, has been sold. This change will improve customer protection by tracking actual odometer mileage for. You’ll get an alert if odometer fraud is suspected. In the Default of Indiana when you transfer the holding of to vehicle you may to complete the odometer disclosure statements on the back of the vehicle’s Certificate of title int the Assignment to heading range. S. be accepted at this time. STATEMENT. ____ Annual interest rate on matured, unpaid amounts shall be the maximum amount permitted by the Laws of the State of Indiana, or _____ annual interest rate on matured unpaid amounts shall be set. No software installation. Indiana Bureau of Motor Vehicles Central Office Title Processing . C. The form also contains the Odometer Disclosure Statement required by. Ohio: BMV 3724 Odometer Disclosure Statement . Homemade Trailer Statement of Construction: VSD 797: Junk Vehicle Notification Form: VSD 325: Leased Vehicle Registration Affirmation: VSD 327: Mechanic's Lien Affirmation: VSD 526: Natural Disaster Disclosure Statement: VSD 694: Notice of Address Change: VSD 165: Odometer Disclosure Statement for Title Transfers: VSD 333: Power of. Finally, the buyer must sign and print his or her name,. A driver’s license or identification card may be accepted as proof if the address on the credential is. RCW 46. Usually you can take this reading on the the vehicle’s title and/or on a separate form, it depends on your state. If you needing or need toward use the discrete state-approved fillable Indiana Odometer Disclosure Statement Form 43230, this form is composed on four sections. Professionally drafted and regularly updated online templates. when a motor vehicle, for which an odometer disclosure is required, has been purchased. (NOTE: Do not write in tenths of miles. Additionally, it serves as evidence of the lien release, allowing the title to be transferred to the new owner devoid of any encumbrances. § 27-14-101 et seq. )Evansville Indiana Bill of Sale of Automobile and Odometer Statement Browse the greatest online catalogue of legally binding forms for personal and business needs to get the one you're trying to find. Mileage will be branded as “Not Actual” unless a completed and signed odometer statement from the owner of. statement may result in fines and/or imprisonment. 35. Odometer Disclosure Statement Retention. L. 92 pages ? a. Indiana Odometer Disclosure Statement Submission. 13 Disclosure of odometer. Oklahoma Odometer Disclosure Statement – OK. A Title Application (Form MVR-1). 1, 2021, extends the vehicle age required to provide an odometer statement. R. ODOMETER DISCLOSURE STATEMENT State Form 43230 (R3 / 5-13) INDIANA BUREAU OF MOTOR VEHICLES INSTRUCTIONS: 1. Open and complete your form directly in your browser faster than ever before with the editor toolkit. Two originalIf the odometer information isn't filled out on the title, provide an Odometer Disclosure Statement (Form 43230). ODOMETER DISCLOSURE STATEMENT State Form 43230 (R3 / 5-13) INDIANA BUREAU OF MOTOR VEHICLES INSTRUCTIONS: 1. One proof of address. Take advantage of the top and left panel tools to edit Printable odometer statement. Additional and/or substitute forms will also be required in. 01. Odometer Disclosure Statement – State Form 43230 or other conforming odometer statement . The later kinds of automotive is exemption from odometer disclosure requirements in the State of Indiana: wheels pattern year 2010 or old, transport over 16,000 pounds, low-speed vehicles. fleet of vehicles is, on average, older than ever, and NHTSA finalized this rule late last year to address an increase in odometer fraud involving. In the State of Florida you may need or want to complete the Florida Odometer Disclosure Statement Form – Form HSMV 82993 (Rev. Minor Consent Form. Full, revise and printing or signal the Texas Odometer Statement. ☐ One proof of address. 03. date read , and i/we hereby certify that to the best of 0< 285 . Step 7. Department of Justice estimates that when other related costs are considered, including more frequently-needed repairs, the average consumer loss due to odometer fraud is approximately $4,000 per vehicle. This helps safeguard people from odometer tampering. Most state titles also have a check box on the back that may state something like “Mileage May Not Be. A federal rule change expands odometer disclosure requirements. A common example of this is where the odometer of a used car has been reset from the true mileage. Odometer Disclosure Statement Federal law ( 49 U. The law requires the seller to certify the odometer reading and condition as. gov and be sure to put the word "ODOMETER" in the title of the email if you need to contact NHTSA's Office of Odometer Fraud Investigations staff, and do not know whom to call. If you're searching for exact Colorado Bill of Sale of Automobile and Odometer Statement samples, US Legal Forms is the thing you need; locate documents made and checked by state-certified attorneys. 11/11). ☐ One proof of address. Odometer Statement Indiana. Mileage will be branded as “Not Actual” unless a completed and signed odometer statement from the owner of record is provided. Download the application checklist, forms, and fees from the BMV website. S. The form also contains the Odometer Disclosure Statement required by Federal Law and State Law, where applicable. Updated June 1, 2023. when should this form not be used? 1. The following guitar of mobile are freed from odometer disclosure requirements in the State of Indiana: vehicles product year 2010 or older, vehicles over 16,000 pounds, low-speed vehicles (LSV), non-motorized vehicles (trailer-type), plus scooters or mopeds. 6 (a) and, also for clarity, § 580. You can submit your forms to: A vehicle licensing office and get your title in 6-8 weeks; A Quick Title office* and get your title immediately in person or within a few business days by mail. This form is State Form 43230 and should be turned in to the Bureau of Motor Vehicles. The federal odometer law states that all vehicles weighing less than 16,000 pounds and under 10 years old require an odometer disclosure statement to be certified at the time of purchase. The first “Odometer” statute was passed by Congress in 1972, known as the Truth in Mileage Act or TIMA. 93, Stats. Year Year Model . S. Find more details lower. As of January 2021, the federal odometer disclosure requirements have changed. Locate more details slide. (2) A vehicle that is not self-propelled. ). Standard Odometer Disclosure Statement: This is the most common type of Indiana odometer statement, used for general vehicle sales or transfers. Examples include an Indiana driver s license or identification card or utility bill dated within the last sixty 60 days. 1. R. Odometer Disclosure Statement State Form 43230. 12. This disclosure must be signed by the transferor, including the printed name, and contain the following information: ( 1) The odometer reading at the time of transfer (not to include tenths of miles); ( 2) The date of transfer; ( 3) The transferor's printed name and current address; ( 4) The transferee's printed name and current address; and. Required Documents. The form must be signed by the seller and the buyer, and the odometer reading must be accurate or verified by a mechanic. Odometer rolling is a typically used car fraud. are exempt. Reference to. Provided you need or to the use the separate state-approved fillable Indiana Odometer Announcement Statement Form 43230, this form is composed of four sections. 6 to “Additional Requirements for Electronic Odometer Disclosures” to add clarity and precision. License plates; How much is the car registration fee in Indiana? Indiana car registration fee will cost $21. You can fill out this form on the phone, tablet, on the computer or by hand using a pen. Once you have all of these documents, you may apply for an Indiana title at a branch. Vancouver Washington Bill of Sale for Automobile or Vehicle including Odometer Statement and Promissory Note Discover and download an official state-specific template from our electronic catalogue of 85k legal forms for company and personal purposes. Rebuilt from salvage disclosure if needed. A federal rule change expands odometer disclosure requirements. Sc Odometer Disclosure Statement. Under the new rule, the odometer reading must be disclosed at the sale of a 2011 vehicle until 2031. ” All trailers and motor vehicles weighting over 16,000 pounds are exempt. This form below is designed for use on upon the sale of a motor vehicle or automobile. If you want. Indiana Odometer Disclosure Statement Form. $2 per day after the 16th day (up to $125) If you buy from an out-of-state dealer, you may need to take care of the transfer. ☐ Odometer Disclosure Statement – State Form 43230 ☐ One side view pictureof the entire vehicle. IC 9-17-2-6 Odometer reading; false information; bureau immunity; violation Sec. An odometer disclosure statement or a completed odometer statement on the vehicle title A physical inspection of a vehicle or watercraft (if required) Proof of address Proof of social security number or a federal identification number (FIN) Payment for all applicable vehicle title transfer fees and sales tax fee of 7%If your vehicle is equipped with an odometer capable of reading 999,999 miles, you need only write in the odometer disclosure "the actual mileage shown" on the odometer. For additional information, call the Rebuilt Support Section at (502) 564. People can learn about the Indiana odometer disclosure statement and how to reset a digital odometer from Allen Stewart. However, vehicles ten years old and older are exempt from the written disclosure requirements. ODOMETER DISCLOSURE STATEMENT Federal law at State change if applicable requires that you confine the. Required for vehicles purchased outside of Indiana. Odometer Mileage Disclosure Statements . Proof of a state address, such as a BMV-issued driving license or ID card. We use cookies to improve security, personalize the user experience, enhance our marketing activities. A law enforcement officer or licensed agent must complete this. Below you can find the Indiana state-approved fillable PDF form for your use. However, vehicles ten years and older are exempt from this requirement. VIN 2020-14 Odometer Disclosure for 2010 Models and Newer Author: DMV Subject: Odometer Disclosure for 2010 Models and Newer Keywords: Effective January 1, 2021, odometer disclosure, 20 model years old, model year 2010, Vehicle Industry Registration Procedures Manual transfer after January 1, 2021 Created Date: 12/4/2020 8:48:11 AMIndiana Odometer Disclosure Statement (Form 44049): This form is specifically designed for vehicles that are exempt from odometer reporting requirements, such as certain antique vehicles or vehicles with a gross weight rating of more than 16,000 pounds. Damage Disclosure Statement (MVR-181) Highway-Use Tax Exemption Certificate (MVR-613) 1 – if being transferred between. 1. Indiana Speedometers - get access to a huge library of legal forms. Odometer Disclosure Statement Federal law ( 49 U. (1) Except as provided in subsection (4), before executing any transfer of ownership document relating to a motor vehicle, each seller of a motor vehicle shall record on the certificate of title the odometer reading at the time of transfer or, if the certificate of title. Form 3019 - Odometer Disclosure Statement dor. An odometer disclosure statement. Updated June 2, 2023. Box 183581 | Arlington, TX 76096-3581 If you are purchasing from or returning to a dealership: If you are. Failure to complete or making a false statement may result in fines and/or imprisonment. Odometer Disclosure Statement – State Form 43230. See the Odometer Disclosure FAQ for details. The work with papers isn't the most easy job, especially for people who rarely work with legal paperwork. Examples include an Indiana driver s license or identification card or utility bill dated within the last sixty 60 days. If you need press want to use that separate state-approved fillable Indiana Odometer Disclosure Statement Form 43230, this form will composed of quadruplet sections. Odometer Disclosure Statement – State Form 43230, if the odometer statement is not completed on the certificate of title or certificate of origin. Type text, add images, blackout confidential details, add comments, highlights and more. I certify that the above-listed odometer reading is NOT the actual mileage. ☐ Odometer Disclosure Statement – State Form 43230 (if odometer statement is not completed on the certificate of title or certificate or origin). Provide the date of sale and the name and address of the seller. The Indiana Bill of Sale is composed of three. You can also find out if odometer fraud has been reported using the free Odometer Check tool at the top of this page. For this reason, odometer disclosure statements have been. S. To access and acquire state-specific legal templates, subscribe to US Legal Forms. An odometer disclosure is ALWAYS required unless:Washington Bills of Sale. For more information, view our FAQs below. 3. Find read details below. 6 (a) (1) is now redesignated as § 580. C. Odometer Disclosure Statement - State Form 43230; Mechanic’s Lien Bill of Sale - State Form 23104; Trailer Ownership Affidavit - State Form 43753 Odometer Disclosure Statement – State Form 43230. The odometer disclosure statement must be on either the. When an odometer mileage disclosure statement is required, the information must be provided by the seller, not the buyer. O. If you don't transfer within 15 days you'll have to pay penalties: $50 on the 16th day, or. State Form 43230 (R3 / 5-13) INDIANA BUREAU OF MOTOR VEHICLES . ) (Example: If your odometer reads 118, 666. Mississippi Bills of Sale. The U. INDIANAPOLIS — Governor Eric Holcomb signed legislation Monday that will require the Indiana Bureau of Motor Vehicles (BMV) to disclose how they’re spending money generated from selling your personal information. The process is fast and easy. The penalties for odometer fraud include both civil liability and criminal charges. The disclosure must be signed by the seller, including the printed name. Obtaining an odometer disclosure statement. (2) What odometer. An Odometer Disclosure Statement form is a legal document attached to a Vehicle Bill of Sale, at the time of sale, to legally declare the vehicle mileage shown on its odometer. 2. Odometer Disclosure Statement - Leased Vehicle. State Form 43230 (R3 / 5-13) INDIANA BUREAU OF MOTOR VEHICLES . Proof of Indiana Residency. If there are co-owners to be recorded on a title, all signatures on. G. If the vehicle is new, the odometer reading must be on the Manufacturer’s Statement of Origin. Mail form s to MS21 Attention Alzheimer s / Dementia Special Care Disclosure Division of Disability Aging and Rehabilitative Services 402 West Washington Street Room W-454. with an incomplete odometer mileage disclosure statement. Beginning January 1, 2021 - when you sell or transfer a motor vehicle with a model year 2011 or newer - you must include the actual odometer mileage on the odometer disclosure statement. Choose from 85,000 state-specific document templates available for download in Word and PDF. Get Form Now Download PDF. Florida Form 82993, titled "Separate Odometer Disclosure Statement and Acknowledgment," is a legal document used in the state of Florida to disclose the odometer reading of a motor vehicle during a title transfer or sale. The Federal Odometer Act was created to protect buyers from fraud when buying a used vehicle. Browse through the list of reusable document samples and easily download or print legal forms. ODOMETER DISCLOSURE STATEMENT. When completed, Form TC 96-182 serves as your odometer statement which is necessary. Once this brand is added to a vehicle title, it can never be removed. Enter the car’s 17-digit identification number (VIN) and Zip code. Download your updated document, export it to the cloud, print it from the editor, or share it with others. Odometer Disclosure Statement (Form 43230). Next fill in seller’s address, city, state, and ZIP code. Proof of vehicle inspection, if applicable . Type text, add images, blackout confidential details, add comments, highlights and more. 192.