Odometer Mileage Statement

Field Name - name Description - This field should contain the full legal name of the individual or entity certifying the odometer mileage statement. This is typically the seller (transferor) of the vehicle who is providing the certification.

Field Description - Mileage This field indicates the current odometer reading of the vehicle at the time of sale. It must be accurate as federal regulations require truthful disclosure to avoid legal penalties or liability for misrepresentation. Example format - `12345` (numeric value only).

Field Description for "certification1" - This field requires you to certify the odometer reading of the vehicle by selecting one of the provided statements. Choose the appropriate option that accurately reflects the current mileage status of the vehicle (e.g., actual mileage, exceeds mechanical limits, or not applicable). Mark the correct line with an "XXX" before submitting the form. (Example options may include - "The odometer reading reflects the actual mileage," "The odometer reading exceeds the mechanical limit," etc.)

Field Description for "certification2" - "Select the appropriate statement that accurately certifies the odometer reading of the vehicle being sold. This certification must comply with federal regulations and may impact legal liability." This description ensures users understand they need to choose the correct certification option based on the odometer's condition (e.g., actual mileage, exempt, or inoperable).

Field Description for "certification3" - This field is part of an Odometer Mileage Statement and requires certification of the odometer reading. Select one of the provided options (marked with "XXX") to certify whether - - The odometer mileage is the actual mileage. - The odometer reading differs from the actual mileage due to mechanical issues or other reasons. Choose the statement that accurately reflects the vehicle's condition.

Field Description - Make This field indicates the manufacturer or brand of the vehicle being sold. For example, common makes include Toyota, Ford, Honda, etc. Please enter the exact make of the vehicle as listed on its registration or title. This information is required for legal and identification purposes under federal regulations governing vehicle sales.

Field Description - Model This field indicates the specific model of the vehicle being sold. The model is typically a designation assigned by the manufacturer (e.g., "Camry," "Accord," or "F-150") that distinguishes different variations within the same make. Ensure you enter the exact model name as listed on the vehicle's title or registration to maintain accuracy and compliance with federal regulations.

Field Description - Body Type This field specifies the type of vehicle body (e.g., sedan, SUV, truck, coupe). It helps classify the vehicle accurately for record-keeping and legal purposes. Example values - - Sedan - SUV - Truck - Coupe - Convertible Ensure you select the correct body type to match the vehicle being sold.

Field Description - Year This field indicates the manufacturing year of the vehicle being sold. It helps identify the age of the vehicle and is required for accurate record-keeping and compliance with federal regulations. Example format - `2023` (for a 2023 model).

Field Description - VIN (Vehicle Identification Number) The Vehicle Identification Number (VIN) is a unique 17-character code used to identify individual motor vehicles. It provides specific information about the vehicle, including its manufacturer, model, year of production, and other details. Use Case - Enter the VIN as listed on the vehicle's registration or title document. This number ensures accurate identification of the vehicle in question for legal and record-keeping purposes. Example Format - 1G1ZT54826F123456 Ensure the VIN is entered correctly to avoid discrepancies in the odometer mileage statement.

Field Description for "certification4" - "Select one of the following statements to certify the odometer reading - - The odometer mileage is the actual mileage. - The odometer mileage reflects that the odometer is not the original equipment (e.g., replaced or altered). - The odometer reading is in excess of its mechanical limits. Choose the option that accurately describes the vehicle's odometer condition."

Field Name - certification5 Description - Select one of the provided statements (by marking "XXX") that accurately certifies the odometer reading for this vehicle. This is a legally binding declaration regarding the mileage accuracy. (Example options may include - "The odometer reading reflects the actual mileage," or "The odometer reading does not reflect the actual mileage.")

Field Description for "certification6" - "Select the appropriate certification statement regarding the odometer mileage accuracy or exemption (e.g., 'The odometer reading is the actual mileage' or 'The odometer reading exceeds mechanical limits'). Mark with an 'XXX' before the correct option."

Field Description - seller_address1 This field captures the first line of the seller's (transferor) address where the vehicle transaction is taking place. This includes details such as street number, street name, or P.O. Box. Example - - "123 Main Street" - "456 Oak Avenue, Apt 7B" Ensure accuracy to comply with legal and regulatory requirements for vehicle sales documentation.

Field Description - seller_address2 This field is used to enter the second line of the seller's address (e.g., apartment number, suite, or additional location details). If no additional address information is needed beyond the first line, this field can be left blank.

Date of Statement This field indicates the date when the odometer mileage statement was completed and signed by the seller. It serves as an official record of the transaction and should reflect the exact date the document is filled out. Example format - MM/DD/YYYY

Field Description - seller_address3 This field is used to provide the third line of the seller's (transferor) address. This may include additional address details such as an apartment number, suite, or other relevant information that does not fit in the first two address lines. Example - - seller_address1 - 123 Main Street - seller_address2 - Apt 4B - seller_address3 - Springfield, IL 62704

Field Description - "buyer_address1" This field is used to enter the first line of the buyer's (transferee) mailing address where the odometer mileage statement should be sent. This includes details such as street number, street name, and any additional relevant information for proper delivery. Example - `123 Main Street` Ensure accuracy to comply with federal regulations and ensure the buyer receives the required documentation.

Field Description - "buyer_address2" This field is used to enter the second line of the buyer's address (e.g., street name, apartment number, or suite). Ensure accuracy as this information is required for legal documentation related to the vehicle sale. Example - - buyer_address1 - 123 Main Street - buyer_address2 - Apt 4B

Field Description - "buyer_address3" This field is used to specify the third line of the buyer's address (e.g., city, state, ZIP code). Ensure accuracy when filling this out to comply with federal regulations for vehicle sales documentation. Example - - buyer_address1 - Street Address - buyer_address2 - Apartment/Unit Number (if applicable) - buyer_address3 - City, State, ZIP Code

Field Description - Buyer Acknowledgment This field confirms that the buyer has received a copy of this Odometer Mileage Statement. - If the buyer has acknowledged receipt, enter "Yes." - If the buyer has not acknowledged receipt or is unknown, leave blank or enter "No." This ensures proper documentation and compliance with federal regulations.