Odometer Disclosure Statement


Federal law and section 233a of the Michigan Vehicle Code require that you state the mileage in connection with the transfer of ownership. Failure to complete or providing false statement may result in civil liability, fines and/or imprisonment.
(No tenths)
And certify that to the best of my knowledge the odometer mileage is:(Required)
Check One
* Note: Mileage cannot be corrected at a later date.
Address
MM slash DD slash YYYY

Address
“I am aware of the above odometer certification made by the seller(s).”
MM slash DD slash YYYY


 

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