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Free Odometer Disclosure Statement Form

Odometer disclosure statement required by federal law for vehicle transfers. State-specific requirements and exemptions included.

Seller Information

Buyer Information

Odometer Disclosure Details

Sale Information

Free PDF includes a small watermark at the bottom. Remove it for $4.99.

About the Odometer Disclosure Bill of Sale

Our odometer disclosure bill of sale template includes all the fields you need for a legally valid transaction. The form captures seller and buyer information, detailed odometer disclosure specifications, sale terms, and condition disclosures.

Fields Included

  • Year (required)
  • Make (required)
  • Model (required)
  • VIN (required)
  • Odometer Reading (miles) (required)
  • Odometer reading reflects actual mileage (optional)
  • Odometer has exceeded mechanical limits (odometer rolled over) (optional)
  • Odometer reading is NOT the actual mileage (tampering or discrepancy known) (optional)