Statement of Fact to Correct Error on Title - Travis County, Texas

BRUCE ELFANT ASSESSOR AND COLLECTOR

OF TAXES

5501 AIRPORT BLVD. AUSTIN, TX 78751 (512) 854-9473

Statement of Fact to Correct Error on Title

**MUST BE COMPLETED BY THE SELLER(S)** **A COPY OF THE SELLER'S U.S. GOVERNMENT ISSUED ID OR PASSPORT IS

REQUIRED**

*NO ALTERATIONS, WHITEOUT OR ERRORS ARE ACCEPTABLE*

This is to state that an error was made on Title # ______________________________________

Vehicle: year __________ make __________ VIN ______________________________________

The reason for the error was: Assignment (____), Odometer Reading (___)

Other (explain) ___________________________________________________________________

________________________________________________________________________________

The vehicle is now sold to __________________________________________________________ Buyer(s) Name

Date of Sale _________________

Seller(s) Signature _________________________________________________________

Federal and State law requires that you state the mileage in connection with the transfer of ownership. Failure to complete or providing a false statement may result in fines and/or imprisonment.

I state that the odometer now reads _________________ (no tenths) miles and to the best of my knowledge that it reflects the actual mileage of the vehicle described herein, 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

_________________________________________ Seller(s) Signature

______________________________________ Seller(s) Printed Name

________________________________________ Purchaser(s) Signature

______________________________________ Purchaser(s) Printed Name

____________________________________________________________________________________ Purchaser's Address (Number, Street, City, State and Zip)

Revised 5/2/19

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