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Odometer Disclosure Statement

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Odometer Disclosure Statement
I, Jeffrey Jones, STATE AND DECLARE that the following vehicle's (the 'Motor Vehicle') odometer reads as follows:
Make Model Year
  Toyota   Corolla   2003
Current Odometer Reading Vehicle Identification Number (VIN) Body Type
  12,000 miles   XTA210530T1635057   5 dr hatchback
I CERTIFY that to the best of my knowledge the odometer reading as stated above reflects the actual mileage of the Motor Vehicle. I CERTIFY that the odometer of the Motor Vehicle was altered for repair or replacement purposes while in my possession, and that the mileage registered on the repaired or replacement odometer is identical to that before the service.
SIGNED, SEALED AND DELIVERED
this 4th day of April, 2015.
           Jeffrey Jones

 


Receipt of original copy
is hereby acknowledged by
Hanna Westcott
 
         Hanna Westcott
    Address:
    Salt Lake City, Utah, 43230
 

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