Ohio
|[pic] |OHIO DEPARTMENT OF PUBLIC SAFETY | |
| |BUREAU OF MOTOR VEHICLES | |
| | | |
| |ODOMETER DISCLOSURE STATEMENT | |
|Federal law (and State law), if applicable) requires that you state the mileage upon transfer of ownership. Failure to complete or providing a false statement may |
|result in fines and/or imprisonment. |
|I, | |state that the odometer (of the vehicle described below) now |
| |PRINT TRANSFEROR’S NAME | |
|reads | |(no tenths) miles and to the best of my knowledge that it reflects the actual |
|mileage of the vehicle described below, unless one of the following statements is checked. |
| (1) I hereby certify that to the best of my knowledge the odometer reading reflects the amount of mileage |
| | in excess of its mechanical limits. |
| (2) I hereby certify that the odometer reading is NOT the actual mileage. |
| |WARNING - ODOMETER DISCREPANCY. |
|MAKE |BODY TYPE |MODEL |
| | | |
|VEHICLE ID NUMBER |YEAR |
| | |
|TRANSFEROR’S PRINTED NAME (SELLER) |
| |
|TRANSFEROR’S STREET ADDRESS |
| |
|CITY |STATE |ZIP CODE |
| | | |
|DATE OF STATEMENT |TRANSFEROR’S SIGNATURE (SELLER) |
| |X |
| |PRINTED NAME OF TRANSFEROR |
| | |
|TRANSFEREE’S PRINTED NAME (BUYER) |
| |
|TRANSFEREE’S STREET ADDRESS |
| |
|CITY |STATE |ZIP CODE |
| | | |
|RECEIPT OF COPY ACKNOWLEDGED |
|TRANSFEREE’S SIGNATURE (BUYER) |PRINTED NAME OF TRANSFEREE |
|X | |
bmv.
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related download
- application for kentucky certificate of title or registration
- application s for certificate of title to a motor
- sample of letter to request reasonable accommodation
- emergency action plan template
- defendant s first set of written interrogatories
- sample corporate resolution greg abbott
- completing the vehicle load card forscom form