Blitz Document automation & assembly software

Odometer Disclosure Statement

Download the Odometer Disclosure Statement automated template and 100+ legal and bisiness forms.
Free Download

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.
this 4th day of April, 2019.
           Jeffrey Jones


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

* * *             

Download the Odometer Disclosure Statement template and more than 100 other full-text documents.
Free Download