a. 1, 2021, extends the vehicle age required to provide an odometer statement. Form 3019 - Odometer Disclosure Statement dor. 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. CITY Lessee’s Signature: _____ Date of Statement: _____Step 1: Obtain the proper form. Prepared and approved by. Section 4 of the Kansas Odometer Disclosure Form TR-59. BMV 3724 4/17 [17601081] 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. odometer disclosure statement missouri. (d) The department shall provide for use consistent with 49 C. 5. 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. Under the new rule, the odometer reading must be disclosed at the sale of a 2011 vehicle until 2031. When is the odometer reading exempt? As a federal rule in the US, all cars that were manufactured before 2011 and are at least 10 years old are exempt from the odometer reading. In the State of Maine you should complete also the Maine Odometer Disclosure Statement Form – Form MVT-32 (Rev. 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. Model Year 2010 and older vehicles will continue to be subject to the. In order to take possession of a new vehicle, the odometer disclosure statement must be filled out, though there are a few exceptions. Why is mileage disclosure declaration is necessary. The form must be signed by the seller and the buyer, and the odometer reading must be accurate or verified by a mechanic. The Odometer Disclosure Statement includes dedicated spaces for the vehicle description, buyer and seller details, and the odometer reading. And if the mileage is known to be incorrect, it must be. Below you can find the Indiana state-approved fillable PDF form fork your use. Car buyers often use a vehicle’s mileage when trying to determine that they’re getting the best deal possible. For more information, view our FAQs below. 03. , Rm. when an odometer disclosure statement and acknowledgement between the buyer and the seller is required, but no odometer disclosure statement has been made on another state or federal form. Type text, add images, blackout confidential details, add comments, highlights and more. In certain instance you may also used the state-approved form to complete the odometer disclosure statement. Find reusable templates specific to your state in the most comprehensive online forms catalog, with 24/7 access to your purchased samples. Find more details below. Bill of Sale. An odometer disclosure statement. Indiana Application for Certificate of Title (Form 205). If you don't transfer within 15 days you'll have to pay penalties: $50 on the 16th day, or. After you buy or receive a vehicle as a gift, you have 15 days to transfer the ownership into your name. Washington odometer disclosure form td 420 006. (1) When is an odometer disclosure statement required? An odometer disclosure statement is required on all transfers of ownership as required by RCW 46. No-Odometer Disclosure Statement: Sometimes, a vehicle may be exempt from providing an odometer disclosure due to specific reasons, such as the age of the vehicle or its type (e. § 32701, provides for $10,000 minimum damages, treble damages, and attorney fees for odometer tampering, mis-disclosure of information on vehicle title documents, certain. Fraud or other criminal activity related to the odometer disclosure statement as set forth in S. ODOMETER DISCLOSURE STATEMENT State Form 43230 R3 5-13 INDIANA BUREAU OF MOTOR VEHICLES INSTRUCTIONS 1 In accordance with. Section 4-4 . 6 (a) and, also for clarity, § 580. Odometer Overview. these exemptions are: - motor vehicles with a model year of 2011 or newer are. 2. ☐ Proof of an approved Report of Bus Inspection completed by the Indiana State Police ☐ $16. 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. Below yourself can find the Indiana state-approved fillable PDF art for your use. The out-of-state certificate of title. The law lets juries award remedies of $1,500 or triple damages. 20 years old or less, starting with model year 2011. Commercial Forms. with an incomplete odometer mileage disclosure statement. 16 - Odometer Requirements Violations - Resetting or altering odometer with intent to change mileage. The U. Please employ available black or black ink to. Examples include an Indiana driver s license or identification card or utility bill dated within the last sixty 60 days. Odometer Disclosure Statement – State Form 43230. They shall retain allIn certain cases you may also use the state-approved form to complete the odometer disclosure statement. Payment for your titling and registration fees. The odometer disclosure should contain: The complete vehicle description (make, year model, body type, and vehicle identification number). Failure to complete an odometer disclosure statement or providing false information may result in fines and/or imprisonment. The consultation is free. Failure to complete or providing false. If you think you have been a victim of odometer fraud, contact Allen Stewart. S. The out-of-state title in your name. Proof of Indiana Residency. Type text, add images, blackout confidential details, add comments, highlights and more. This part prescribes rules requiring transferors and lessees of motor vehicles to make electronic or written disclosure to transferees and lessors respectively, concerning the odometer mileage and its accuracy as directed by sections 408(a) and (e) of the Motor Vehicle Information and Cost Savings Act as amended, 49 U. Indiana Km Disclosure Statement Form. hereby request the Indiana Bureau of Motor Vehicles to correct this information upon application for certificate of title by the Purchaser. 100 North Senate Avenue, Room N411 An odometer disclosure statement. 020 Disclosure Features All states are required to provide an odometer disclosure section/space on complying titles or complying forms. Required Documents. Vehicles exempt from the written disclosure include cars that are model year 2010 or older. Once this brand is added to a vehicle title, it can never be removed. affirmation of correction illinois. This affidavit is submitted to request the State of Indiana, Bureau of Motor Vehicles. Proof of residency (e. In accordance with. A driver’s license or identification card may be accepted as proof. Motor Vehicles. How to complete an Indiana Bill of Sale Form. It could also mean that someone intentionally tampered with the odometer to change the mileage of the vehicle. This Bill of Sale of Automobile contains the following information: the make/model of the car, VIN number and other information. Complete and sign this document. 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. State Form 43230 (R3 / 5-13). , Chapter 327 (Formerly Title 15, Sections 1981-1990) 49 C. Federal law (and State law, if applicable) requires that you state the mileage upon transfer of ownership. Damage Disclosure Statement (MVR-181) Highway-Use Tax Exemption Certificate (MVR-613) 1 – if being transferred between. W. (1987) , the Commissioner of Revenues for the State of Arkansas does hereby promulgate the following regulations. PK !›CBï‚ Ü [Content_Types]. Odometer Disclosure Statement. When you sell or transfer a vehicle in the State of Oklahoma you have to complete the odometer reading statement in the Assignment of Title by Registered Owner section on the front of the Certificate of Title if the vehicle is a model year 2011 or newer, self-propelled. 580. The odometer disclosure should contain: The complete vehicle description (make, year model, body type, and vehicle identification number). Odometer disclosure statements must show the odometer at the time and date of transfer. “So I called them and I'm like 'Hey my name is Alicia Akins. No paper. 6 to “Additional Requirements for Electronic Odometer Disclosures” to add clarity and precision. Get the Odometer disclosure statement indiana completed. To access and acquire state-specific legal templates, subscribe to US Legal Forms. Certificate of Gross Retail or Use Tax Exemption (ST108E) – State Form 48841 (Exemption 10) ODOMETER DISCLOSURE STATEMENT State Form 43230 (R3 / 5-13) INDIANA BUREAU OF MOTOR VEHICLES INSTRUCTIONS: 1. Include an Odometer Disclosure Statement, if applicable PURCHASER INFORMATION Purchaser’s Name (last, first, middle initial or company name) Social Security Number* or Federal Identification Number Purchaser’s Legal Address (number and street) City State ZIP Code VEHICLE INFORMATION Vehicle Identification Number Vehicle Year 01. when an odometer disclosure statement and acknowledgment between the. This form is used for disclosing the odometer reading when transferring a vehicle ownership in the state of. All odometer mileage disclosure statements must be completed by theSource: OCC. when an odometer disclosure statement and acknowledgment between the buyer and the seller is An Indiana motor vehicle bill of sale (Form 44237) records a transaction for registration purposes with the Bureau of Motor Vehicles (BMV). The federal and nation laws require to seller to disclose the contemporary odometer mileage required any vehicle model. (a) Dealers and distributors of motor vehicles who are required to execute an odometer disclosure statement shall retain for five years a photostat, carbon, or other facsimile copy of each odometer mileage statement, which they issue and receive. It could also mean that someone intentionally tampered with the odometer to change the mileage of the vehicle. The final rule similarly changes the heading for § 580. Proof of: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. or sell a used one, a required odometer disclosure statement must state whether or not the vehicle’s odometer reading is accurate. providing a false statement may result in fines or imprisonment. If there are co-owners to be recorded on a title, all signatures on. (NOTE: Do not write in tenths of miles. An odometer disclosure statement is a required attachment to a vehicle bill of sale at the time of purchase for all vehicles below 16,000 pounds and under 10 years of age. Mississippi Bills of Sale. 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. The work with papers isn't the most easy job, especially for people who rarely work with legal paperwork. 11. Even if the vehicle is considered “exempt,” if the seller does not write “exempt” and makes a mileage disclosure on the odometer disclosure form, this. 49 CFR §§ 580. Illinois state-approved fillable PDF form for your use. when an odometer disclosure statement and acknowledgement between the buyer and the seller is required, but no odometer disclosure statement has been made on In Indiana, the paperwork should include: Application for certificate of title; Bill of sale, sales contract, or purchase order; Title transfer fees; Odometer disclosure statement; Completed and signed document of physical inspection; Copy of drivers license or identification card as proof of address. A change in federal regulations that took effect on Jan. As added by P. Created Date: 10/13/2010 2:53:41 PMIn certain cases your may moreover utilize the state-approved formen to complete the odometer disclosure statement. Under the old odometer disclosure requirements, a 2011 vehicle would have become exempt from disclosure in 2021. 13, was designed to be used when a person buys, sells, trades or gives a motor vehicle, not exempt from the odometer law, to an individual or company. People can learn about the Indiana odometer disclosure statement. For vehicles less than 10 years old, a separate Federal Odometer Disclosure Statement must be submitted if: The odometer reading is not disclosed on the TC 96-182 Application for Kentucky Title/Registration, or; the odometer reading is not on a properly completed title. Sc Odometer Disclosure Statement. 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. 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. ) (Example: If your odometer reads 118, 666. The next types of vehicles are exempt from odometer disclosure demands in the State of Indiana: vehicles model year 2010 or ancient, vehicles over 16,000 pounds, low-speed vehicles (LSV), non-motorized. Fraud or other criminal activity related to the odometer disclosure statement as set forth in S. F. DESCRIPTION AND DEFINITIONS: “Truth in Mileage Act” or TIMA. ☐ If vehicle is transferring ownership, the odometer statement must be completed on certificate of salvage title ora completed Odometer Disclosure StatementState – Form 43230 must be submitted. part 580. The legal process of selling a car in Oklahoma involves transferring ownership of the vehicle from the seller to the buyer. 225 Transfer and reassignment forms; odometer disclosure statements. Please utilize only blue. 1. 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. Fill out the vehicle information section, including the make, model, year, and identification number (VIN) of the vehicle. Full, revise and printing or signal the Texas Odometer Statement. Only required for vehicles made in 2011 or newer with an odometer* Valid driver license. ☐ Odometer Disclosure Statement – State Form 43230. All trailers and motor vehicles over 16 000 lb. On a California vehicle title, the box underneath the two stacked signatures is provided specifically for the odometer disclosure statement. 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. A Title Application (Form MVR-1). All trailers and motor vehicles weighing over 16,000 pounds are exempt. Published under s. when a motor vehicle, for which an odometer disclosure is required, has been purchased. Please use only blue or black ink to complete he. Odometer Disclosure . 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. 217-2014, SEC. ), unless specifically exempted. North Carolina Odometer Disclosure Statement Mail Mvr180. Free preview Vehicle Bill. Note: The Motor Vehicle Division is not responsible for false or fraudulent odometer statements made in connection with transfer of ownership or held liable for recording errors. 1 Requirements. Easily add and underline text, insert images, checkmarks, and symbols, drop new fillable fields, and rearrange or delete pages from your paperwork. 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. I am aware of the above odometer certification made by the seller. R. A separate Odometer Disclosure Statement is included with the bill of sale. An odometer reading is reported as either the true or not true mileage for the vehicle. In the State of Kansas you may need to complete the Kansas Odometer Disclosure Statement – Form TR-40 (Rev. Exceptions are vehicles with a gross vehicle weight rating of more than 16,000 pounds, or vehicles that are not self- propelled. Please use only blue or black ink to. A separate Odometer Disclosure Statement is included with the bill of sale. 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. Ohio BMV Title Forms (ALL) Application for Certificate of Title - Motor Vehicle. No software installation. Proof of a state address, such as a BMV-issued driving license or ID card. However, vehicles ten years old and older are exempt from the written disclosure requirements. ODOMETER DISCLOSURE STATEMENT. The law lets juries award remedies of $1,500 or triple damages. at state that the odometer now reads (seller's name ) (seller's address) The law requires a car seller provide a statement on the title if the odometer’s mileage is incorrect. The new law requires an odometer disclosure statement upon transfer of a vehicle that is: Less than 16,000 pounds. are exempt. The odometer disclosure statement must be on either the certificate of title. Beginning Jan. R. Seller guarantees that the property is his/her own and is free of all claims and offsets of any kind. (Out-of-state lienholders. gov. Selling a VehicleA notarized odometer statement is usually available online and protects car buyers from mileage fraud. 6 miles, you would disclose 118,666 miles on the title. Indiana Farmers MUTUAL INSURANCE COMPANY ODOMETER DISCLOSURE STATEMENT Claim No. Vehicle Information . 4-4. Usually you have to complete the odometer reading on the back of the vehicle’s Certificate of title in the Assignment of Title section. The Motor Vehicle Information and Cost Savings Act (sometimes known as the federal odometer act and described here as the “Act”), 49 U. Odometer disclosure statement required — Exemptions. Easily add and underline text, insert images, checkmarks, and symbols, drop new fillable fields, and rearrange or delete pages from your paperwork. To confirm the accuracy of your vehicle's mileage, you need to fill out an Indiana odometer disclosure statement. To complete an odometer disclosure statement use this official form: Odometer Disclosure Statement – Form 43230. When an odometer mileage disclosure statement is required, the information must be provided by the seller, not the buyer. Downloads: 384. Federal odometer law violators can be subject to civil liability if a jury determines fraudulent intent. It still requires a notary signature to ensure the accuracy of the disclosed information. Updated June 1, 2023. Pursuant to his authority under Act 527 of 1975 as" amended Ark. Year Year Model . Justia › US Law › US Codes and Statutes › Indiana Code › 2022 Indiana Code › Title 9. 12:/('*( 7+( 2'20(7(5 5($',1*. It is required by federal law in all 50 states. Bill of Sale (Form 44237). Odometer Disclosure Statement (Form 43230). INDIANA BUREAU OF MOTOR VEHICLES *This agency is requesting disclosure of your Social Security Number / Federal Identification Number in accordance with IC 4-1-8-1; disclosure is mandatory, and this record cannot be processed without it. Second St. You’ll get an alert if odometer fraud is suspected. Request use only blue or black ink go complete it. Once you have all of these documents, you may apply for an Indiana title at a branch. Get Form Now Download PDF. If the odometer information isn't filled out on the title, provide an Odometer Disclosure Statement (Form 43230). Seller guarantees that the property is his/her own and is free of all claims and offsets of any kind. Massachusetts Bills of Sale. Federal law and State law requires that you state the mileage upon transfer of ownership. The 2023 Florida Statutes. General Procedures for Obtaining Certificates of Title › 9-17-2-6. The Truth in Mileage Act (TIMA) is a federal law that requires the seller of a motor vehicle to. Odometer Disclosure Statement State Form 43230. ) (Example: If your odometer reads 118, 666. Be sure to file these three forms in every used car deal folder to maintain vehicle disclosure compliance. (NOTE: Do not write in tenths of miles. 1. The suit claims Flexible Auto Sales LLC and its owner, John Allen, rolled back odometers on vehicles sold to at least 43 customers. Draw your signature, type it, upload its image, or use your mobile device as a signature pad. The seller(s) guarantees that the automobile is his/her/their property and is free of all claims and offsets of any kind. Buy now. Indiana odometer disclosure statement. One proof of address. ☐ Odometer statement completed on the ownership document or on an Odometer Disclosure Statement – State Form 43230. odometer disclosure statement pdf. The following types of vehicles are relieved from odometer disclosure requirements in the State from Indiana: mobile model year 2010 or older, vehicles over 16,000 pounds, low-speed vehicles (LSV), non. We understand that a false statement may constitute the crime of. So please write SELLER’S NAME using only Capital Letters. Aforementioned followers types of vehicles are exempt from odometer disclosure requirements in the State of Indiana: vehicles model year 2010 or older, wheels over 16,000 pounds, low-speed vehicles. If the owner is an Indiana resident and did not apply for a certificate of title, then the lienholder must present a Court Order. Odometer Disclosure Statement Retention. Credits are available for taxpayers who produce biodiesel and/or blended biodiesel at an Indiana facility certified by the IEDC and for dealersSection 3 of the Maine Odometer Disclosure Form MVT-32. INSTRUCTIONS: 1. In which State of Indiana when you transfer the ownership of your car you have till complete the odometer disclosure statement on who rear of the vehicle’s Certificate of cover is the Assignment of title section. Share your form with others. 124 and Title 49 of the Code of Federal Regulations (C. Odometer Disclosure Statement (Form 43230). An Odometer Disclosure Statement (MVR-180), signed by you and the buyer, if the vehicle is less than 10 years old. Odometer Mileage Disclosure Statements . Odometer Disclosure Statement Form Trusted and secure by over 3 million people of the world’s leading companies. xml ¢ ( ´•ÛjÃ0 †ï {‡àÛ‘¸ÝÅ £i/v¸Ü ë Àµ•Ö,± žÞ~Ê¡a”¶)ër H$ýÿ' ”Ñd[äÑ |ÐÖ¤l˜ X FZ¥Í"e_³·ø‘E. Reference to. 2020-2030 2011 & newer . The different brands are all defined by the National Highway Traffic Safety Administration (NHTSA) in the U. Once this brand is added to a vehicle title, it can never be removed. Declaration of Vehicle Purchase Price (Form 722-1). 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. In Texas, the form you need is called the “Texas Motor Vehicle Transfer Notification” (Form VTR-346). hsmv 82993. , Rm. The disclosure must be signed by the seller, including the printed name. The Guide of filling out Odometer Disclosure Statement Indiana Online. O Bx A T 6096-3581 Ut 20 CNS1002 LEASED VEHICLE ODOMETER DISCLOSURE NOTICE AND STATEMENT P. Disclosure Statement – State Form 43230must be submitted. driver's license, current utility bill, etc. If you what or desire to use the separate state-approved fillable Indiana Odometer Disclosure Order Form 43230, this select is composed of four sections. when a motor vehicle, for which an odometer disclosure is required, has been purchased. When you sell or buy a motor vehicle model year 2011 or newer and below 16,000 pounds, you have to include the current odometer mileage reading on the state-approved Odometer Disclosure Statement form. Title: Microsoft Word - 48-7104. ODOMETER DISCLOSURE STATEMENT. Complete the current odometer mileage by using only digits without tenths. com Odometer Disclosure Statement – State Form 43230 or other conforming odometer statement . 192. O. Both the transferor and the transferee shall retain aIndiana Bills of Sale. 665 - Odometer disclosure statement required-Exemptions (1) The department, county auditor or other agent, or subagent appointed by the director shall require a written odometer disclosure statement with every application for a certificate of title for a motor vehicle. Updated June 1, 2023. 12. If the vehicle is 10 years old or older, however, the seller can simply note that no disclosure is required or write “exempt” in the space for where the odometer disclosure is made. In the State of Missouri when you transfer your vehicle you have to complete the odometer disclosure statement on the back of the vehicle’s Certificate of title in the Assignment section. Examples include an Indiana driver s license or identification card or utility bill dated within the last sixty 60 days. Powerful Remedies. It was amended in 1986,. State Form 43230 Is Often Used In Indiana Bureau Of Motor Vehicles, Disclosure Form, Odometer Disclosure Statement, Indiana Legal Forms, Legal And United States Legal Forms. Mileage will be branded as “Not Actual” unless a completed and signed odometer statement from the owner of record is provided. Owner's Certification (Motor Home) (Iowa DOT Form 411057) Description: This form is used to determine motor home classification for registration purposes. Indiana Odometer Disclosure Statement Form. Updated June 1, 2023. Depending on the state (see table below), the Department of Motor Vehicles (DMV) may provide a state-specific odometer. The Indiana odometer statement with join is a legal document used in the state of Indiana to record and verify the mileage of a motor vehicle. ). The following genres of vehicles are exempt from countdown public requirements in the State of Indiana: vehicles model year 2010 or older, vehicles over 16,000 pounds, low-speed vehicles (LSV), non-motorized. Find more details lower. The form also contains the Odometer Disclosure Statement required by Federal Law and State Law, where applicable. § 4-90-201 et seq. Since drivers can manually rewind the odometer, pre-owned vehicle. See full list on odometerdisclosurestatement. The date of sale. 192. 1 Requirements. If the seller knows that the car’s mileage is incorrect, the document must contain that information. This. 580. 3. Sign it in a few clicks. Learn how to apply for a certificate of title and odometer disclosure statement for a vehicle or watercraft from a different state in Indiana. The law requires a car seller provide a statement on the title if the odometer’s mileage is incorrect. Section 4-4 . In the State of Georgia when you sell or transfer the ownership of your vehicle you must complete the odometer statement on the back of the vehicle’s Certificate of title in the Assignment and Warranty of Title by Owner section. What forms must I fill out for a duplicate car title? In order to obtain an Indiana car title replacement, one must fill out an Application for Certificate of Title 44049 form. (a) Dealers and distributors of motor vehicles who are required by this Part to execute an odometer disclosure statement shall retain, for five years, a photostat, carbon, or other facsimile copy of each odometer mileage statement which they issue or receive. Trailers and vehicles over 16,000 pounds are exempt. As WRTV Investigates uncovered, the state brings in $25 million a year by selling information like your name, date of birth. The odometer disclosure must contain a physical signature, hand-written in ink. 6 (b) through (h). Chapter 5 Odometer Mileage Reporting 5. INSTRUCTIONS: 1. Examples include an Indiana driver s license or identification card or utility bill dated within the last sixty 60 days. F. Indiana residents who have purchased a vehicle or watercraft from a dealer located in a different state may mail their application for. We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing. Odometer Disclosure Statement. STATEMENT. In the State of Florida you may need or want to complete the Florida Odometer Disclosure Statement Form – Form HSMV 82993 (Rev. 93, Wis. disclosure statement. Attorney Christina Gill Roseman at Roseman Law Firm at 800-745-5259 and or via email fights for the rights of consumers ripped off by odometer fraud. Updated on the first day of each month. It requires the seller's signature, buyer's signature, vehicle description, and odometer reading. Vehicle Identification Number Inspection – completed by an officer of the law, DMV employee, military police officer, or Idaho licensed vehicle dealer. ( NOTE: Do not write in tenths of miles . Pa Odometer Statement. This affidavit is submitted to request the State of Indiana, Bureau of Motor Vehicles to issue an Indiana. You should use your charge card or PayPal profile to complete the financial transaction. The vehicle purchase price, stated on any of the following: The title certificate. Fill Out The Odometer Disclosure Statement - Indiana Online And Print It Out For Free. If the odometer mileage is incorrect, the law requires a statement to that effect to be furnished on the title to the buyer. (1987) and Act 142 of 1949 as amended Ark. 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. Odometer Disclosure Statement State Form 43230.