4-4. 03. Type text, add images, blackout confidential details, add comments, highlights and more. Under the new odometer disclosure requirements, New Mexico: Form MVD 10187 - Odometer Disclosure Statement New York: Form MV-103 - Odometer and Damage Disclosure Statement North Carolina: Form MVR-180 - Odometer Disclosure Statement North Dakota: Multiple forms can be used. However, vehicles ten years and older are exempt from this requirement. All trailers and motor vehicles over 16 000 lb. INSTRUCTIONS: 1. AUTHORITY: U. Indiana. Justia › US Law › US Codes and Statutes › Indiana Code › 2022 Indiana Code › Title 9. In the State of Maine you should complete also the Maine Odometer Disclosure Statement Form – Form MVT-32 (Rev. Indiana residents who have purchased a vehicle or watercraft from a dealer located in a different state may mail their application for. The registration and titling procedures are as follows:. when an odometer disclosure statement and acknowledgement between the buyer and the seller is required, but no odometer disclosure statement has been made on In Indiana, the paperwork should include: Application for certificate of title; Bill of sale, sales contract, or purchase order; Title transfer fees; Odometer disclosure statement; Completed and signed document of physical inspection; Copy of drivers license or identification card as proof of address. STATEMENT. Easily add and underline text, insert images, checkmarks, and symbols, drop new fillable fields, and rearrange or delete pages from your paperwork. F. ). This disclosure must be signed by the transferor, including the printed name, and contain the following information: ( 1) The odometer reading at the time of transfer (not to include tenths of miles); ( 2) The date of transfer; ( 3) The transferor's printed name and current address; ( 4) The transferee's printed name and current address; and. This crime costs American car buyers more than $1 billion annually. ”Indiana Odometer Statement If finding legal forms online looks like a challenge, try using US Legal Forms. Download Fillable State Form 43230 In Pdf - The Latest Version Applicable For 2023. As added by P. If you want to discover out how to record that correct odometer recitation you able find more info here: Reading the Trip – How to reading an Counting. odometer disclosure statement texas. on 6-23-12, I purchased car from dealer" odometer disclosure statement" and other purchase docs state millage 71,542. 12. Failure to provide buyer complete. Bill of Sale (Form 44237). Required for vehicles purchased outside of Indiana. 03. Be sure to file these three forms in every used car deal folder to maintain vehicle disclosure compliance. The BMV Physical Inspection of a Vehicle form. Vehicles manufactured with a 2010 model year or older remain exempt under the 10-year exemption. ☐ Odometer Disclosure Statement – State Form 43230. Odometer Disclosure Statement Form Trusted and secure by over 3 million people of the world’s leading companies. 2020-2030 2011 & newer . The legal process of selling a car in Oklahoma involves transferring ownership of the vehicle from the seller to the buyer. 2. Odometer Disclosure Statement. Affidavit to Designate a Beneficiary (form BMV 3811)Before contacting a mechanic, ask the seller to show you the Carfax Vehicle History Report. 01-2021) Federal law (and State law, if applicable) requires that you state the mileage . 11 Petition for approval of alternate dis-closure requirements. 580. 1 Requirements. A law enforcement officer or licensed agent must complete this. Below her can find the Indiana state-approved fillable PDF form for your use. The form also contains the Odometer Disclosure Statement required by Federal Law and State Law, where applicable. ODOMETER DISCLOSURE. 580. Entire code is always current. This form is State Form 43230 and should be turned in to the Bureau of Motor Vehicles. Sign it in a few clicks. Q"· R¶ƒÀ&ãÛ›Ñlç DTmBÊ–ˆî‰ó —Pˆ X †"™õ…@zõ î„ü à÷ƒÁ —Ö Œ±Ô`ãÑ db•côº¥Ï5‰‡°è¹N,½R&œËµ Hq¾6êÀ%n ª¬rÂR»pG Œ u@ e º( «ÀñšRí4TãõAãôZA4. When an odometer mileage disclosure statement is required, the information must be provided by the seller, not the buyer. The process is fast and easy. The odometer statement must be completed by the lienholder applying for title and reflect the current odometer brand with the vehicle’s current mileage. hereby request the Indiana Bureau of Motor Vehicles to correct this information upon application for certificate of title by the Purchaser. Download Physical Inspection of a Vehicle or Watercraft - State Form 39530; Download Odometer Disclosure Statement - State Form 43230; Application For Certificate of Title For A Vehicle- State Form 205Edit Odometer disclosure statement indiana. A separate Odometer Disclosure Statement is included with the bill of sale. The following types on vehicles are exempt from odometer disclosure request in to State from Indiana: vehicles model year 2010 or older, vehicles over 16,000 lbs, low-speed vehicles (LSV), non-motorized cars. 35. Howe…☐ Physical Inspection of a Vehicle or Watercraft – State Form 39530. In the rest of this article, I will go over when an odometer disclosure. Odometer Disclosure Statement – State Form 43230. As added by P. If you think you have been a victim of odometer fraud, contact Allen Stewart. It is required by federal law in all 50 states. Trailers and vehicles over 16,000 pounds are exempt. 13 of the Ohio Revised Code and is punishable by six monthsis the actual mileage of the vehicle unless one of the following statements is checked. S. 6 (a) and, also for clarity, § 580. Such a bill of sale is needed to confirm a party's ownership in the car, which is often needed when trying to obtain insurance or otherwise. New-to-state Indiana residents will have to get a vehicle inspection and take extra steps if there is a lien hold on the vehicle title. For more information: Title Transfers or obtaining a New Certificate of Title in Indiana. , it could mean that the odometer was replaced or broken. State Form 43230 (R3 / 5-13) INDIANA BUREAU OF MOTOR VEHICLES . Proof of residency (e. 35. ODOMETER DISCLOSURE STATEMENT State Form 43230 R3 5-13 INDIANA BUREAU OF MOTOR VEHICLES INSTRUCTIONS 1 In accordance with. Under the new rule, the odometer reading must be disclosed at the sale of a 2011 vehicle until 2031. If the odometer information isn't filled out on the title, provide an Odometer Disclosure Statement (Form 43230). Affidavit of Police Officer/Physical Inspection of an Indiana Resident's Vehicle (Form 39530). C. General Affidavit (Form 37964) for parts you didn’t have to buy to repair/rebuild your car. Failure to complete or making a false statement may result in fines and/or imprisonment. All trailers and motor vehicles weighing over 16,000 pounds are exempt. On a lease, you must submit a signed and dated Odometer Disclosure Statement and Title Release Information form, as federal law requires. disclosure statement. 21(3), which form or forms shall contain an odometer disclosure statement in the form required by 49 C. Sign it in a few clicks. Indianapolis Indiana Bill of Sale of Automobile and Odometer Statement Save your time looking for the best form and make use of the US Legal digital library. Open and complete your form directly in your browser faster than ever before with the editor toolkit. Indiana Iowa Kansas Kentucky Louisiana. In certain instance you may also used the state-approved form to complete the odometer disclosure statement. Examples include an Indiana driver s license or identification card or utility bill dated within the last sixty 60 days. 11/11). Create this form in 5 minutes! Use professional pre-built templates to fill in and sign documents online faster. Affidavit of Police Officer/Physical Inspection of an Indiana Resident's Vehicle (Form 39530). Minor Consent Form. Rule 006. Reset Form ODOMETER DISCLOSURE STATEMENT State Form 43230 (R3 / 5-13) INDIANA BUREAU OF MOTOR VEHICLES INSTRUCTIONS: 1. When is an odometer disclosure required? An odometer disclosure is required on all passenger vehicles, pickup trucks, motorcycles, motor homes, and trucks with a Gross Vehicle Weight Rating (GVWR) of less than 16,000 pounds. Additional and/or substitute forms will also be required in. People can learn about the Indiana odometer disclosure statement and how to reset a digital odometer from Allen Stewart. It was amended in 1986,. odometer disclosure statement which has been issued or approved. The first “Odometer” statute was passed by Congress in 1972, known as the Truth in Mileage Act or TIMA. All motor vehicles over 16,000 pounds are exempt. The Indiana odometer statement with join is a legal document used in the state of Indiana to record and verify the mileage of a motor vehicle. License plates; How much is the car registration fee in Indiana? Indiana car registration fee will cost $21. BMV 3724 4/17 [17601081] OHIO DEPARTMENT OF PUBLIC SAFETY BUREAU OF MOTOR VEHICLES ODOMETER DISCLOSURE STATEMENT Federal law (and State law), if applicable) requires that you state the mileage upon transfer of ownership. ). Section 46. Draw your signature, type it, upload its image, or use your mobile device as a signature pad. S. As WRTV Investigates uncovered, the state brings in $25 million a year by selling information like your name, date of birth. Odometer brands on vehicle titles may show up when at some point the vehicle’s odometer reading is known or suspected to not be the vehicle’s true mileage, due to tampering. In accordance with federal and state law, the seller of a motor vehicle must disclose the current mileage to a purchaser in writing upon transfer of ownership. when the motor vehicle is exempt from the odometer disclosure requirements under federal and state law. The seller must disclose the mileage, and. Below yourself can find the Indiana state-approved fillable PDF art for your use. Lien Release– if liens are shown on vehicle title) Title Application (MVR-1) 1. amended odometer statement florida. at state that the odometer now reads (seller's name ) (seller's. Please use only blue or black ink to. ☐ Odometer Disclosure Statement – State Form 43230 ☐ One side view pictureof the entire vehicle. All odometer disclosures must meet federal requirements. Odometer Disclosure Statement Nh 2017-2023. Section 3 - Odometer Disclosure Federal and State law require that you furnish to the transferee a written odometer disclosure statement upon transfer of ownership. 12/15) in other situations and when you want. An odometer disclosure statement. Learn how to apply for a certificate of title and odometer disclosure statement for a vehicle or watercraft from a different state in Indiana. If you don't transfer within 15 days you'll have to pay penalties: $50 on the 16th day, or. 2. 2. The Federal odometer law, 49 U. Under the old odometer disclosure requirements, a 2011 vehicle would have become exempt from disclosure in 2021. We recommend that you complete this generic federal Odometer Disclosure Statement Form in addition to the state required title, separate form. Indiana certificate of title from the previous owner. I certify that the above-listed odometer reading is NOT the actual mileage. Odometer Disclosure Statement – State Form 43230. Get form. D. Warning – Odometer Discrepancy. odometer now reads (no tenths) miles and: Federal law (and State law, if applicable) requires that the lessee disclose the mileage to the lessor in connection with the transfer of ownership. C. Complete the odometer disclosure on the back of the title. If she required or want to use the separate state-approved fillable Indiany Odometer Disclosure Statements Form 43230, this form is composed of four sections. , Chapter 327 (Formerly Title 15, Sections 1981-1990) 49 C. 1 Requirements. In Texas, the form you need is called the “Texas Motor Vehicle Transfer Notification” (Form VTR-346). This disclosure must be signed by the transferor, including the printed name, and contain the following information: ( 1) The odometer reading at the time of transfer (not to include tenths of miles); ( 2) The date of transfer; ( 3) The transferor's printed name and current address; ( 4) The transferee's printed name and current address; and. I certify that, to the best of my knowledge, the above-listed odometer reading reflects the amount of mileage IN EXCESS OF ITS MECHANICAL LIMITS. Each auction. All odometer mileage disclosure statements must be completed by theSource: OCC. The immediate impact is that 2011 vehicles will not become odometer exempt on Jan. odometer disclosure statement texas. The disclosure must be signed by the seller, including the printed name. An odometer reading is reported as either the true or not true mileage for the vehicle. The odometer disclosure statement must be onIn certain cases you may also use one state-approved form to complete the odometer disclosure statement. Complete a blank sample electronically to save yourself time andIndiana Odometer Disclosure Statement Form. 100 North Senate Avenue, Room N411. Ohio BMV – Power of Attorney. An Application for Removal of Lien from the Certificate of Title (Form MVR-8), if applicable. 6 miles, you would disclose 118,666 miles on the title. Failure to complete or providing false. Odometer fraud is the disconnection, resetting or alteration of a vehicle’s odometer with the intent to change the number of miles indicated. Examples include an Indiana driver s license or identification card or utility bill dated within the last sixty 60 days. Proof of residency (e. The following types of vehicles are relieved from odometer disclosure requirements in the State from Indiana: mobile model year 2010 or older, vehicles over 16,000 pounds, low-speed vehicles (LSV), non. All trailers and motor vehicles weighing over 16,000 pounds are exempt. with an incomplete odometer mileage disclosure statement. However, when you are talking about a vehicle that was manufactured from 2011 onwards, the requirement for exemption is 20 years. Exceptions are vehicles with a gross vehicle weight rating of more than 16,000 pounds, or vehicles that are not self- propelled. 1. or less. If there are more than 2 20 years of the year it is manufactured. Proposed § 580. Once you have all of these documents, you may apply for an Indiana title at a branch. Find more details below. Failure to complete or providing a false statement may result in fines and/or imprisonment. If you. 8 Odometer disclosure statement reten-tion. Supposing your need or want to usage an separate state-approved fillable Indiana Odometer Disclosure Statement Download 43230, this submission is composed of four sections. Get Form Now Download PDF. hsmv 82993. ☐ One proof of address. It could also mean that someone intentionally tampered with the odometer to change the mileage of the vehicle. How To Fill Out Odometer Disclosure Statement Washington. § 32701, provides for $10,000 minimum damages, treble damages, and attorney fees for odometer tampering, mis-disclosure of information on vehicle title documents, certain. Vehicles exempt from the written disclosure include cars that are model year 2010 or older. Chapter 5 Odometer Mileage Reporting 5. Tip: to complete the Indiana Odometer Disclosure. However, when you are talking about a vehicle that was manufactured from 2011 onwards, the requirement for exemption is 20 years. There are two ways to get your title. 20 years old or less, starting with model year 2011. Section 308-56A-640 - Odometer disclosure statement (1) When is an odometer disclosure statement required? An odometer disclosure statement is required on all transfers of ownership as required by RCW 46. may indicate rights of survivorship by using the • Odometer Disclosure - Required for 20 years for all vehicles model year 2011 or newer. 93, Wis. 6 miles, you would disclose 118,666 miles on the title. Usually you can take this reading on the the vehicle’s title and/or on a separate form, it depends on your state. Please how one blue oder black ink to complete it. Code Ann. Proof of Indiana Residency. 580. 6 to “Additional Requirements for Electronic Odometer Disclosures” to add clarity and precision. The bill of sale also states that the automobile is sold as-is without any warranties, express or implied. Federal and State Law require that you state the mileage in connection with the transfer of ownership. If there are co-owners to be recorded on a title, all signatures on. Professionally drafted and regularly updated online templates. Rebuilt from salvage disclosure if needed. 665 Odometer disclosure statement required— Exemptions. § 580. This government document is issued by Motor Vehicles for use in North Carolina. 13, was designed to be used when a person buys, sells, trades or gives a motor vehicle, not exempt from the odometer law, to an individual or company. Section 4-4 . Download Physical Inspection of a Vehicle or Watercraft - State Form 39530; Download Odometer Disclosure Statement - State Form 43230; Application For Certificate of Title For A Vehicle- State Form 205 Edit Odometer disclosure statement indiana. Damage Disclosure Statement (MVR-181) Highway-Use Tax Exemption Certificate (MVR-613) 1 – if being transferred between. C. PDF TC 96-358 Applicant Communication Request Word. In certain cases you may also using that state-approved form to complete the odometer disclosure statement. 2033. 1 Requirements. Proof of Indiana Residency. INDIANAPOLIS — Governor Eric Holcomb signed legislation Monday that will require the Indiana Bureau of Motor Vehicles (BMV) to disclose how they’re spending money generated from selling your personal information. Updated October 4, 2023. Quick Titles have an additional $50 fee. A law enforcement officer or licensed agent must complete this. 61-3-206. date read , and i/we hereby certify that to the best of 0< 285 . Odometer Disclosure Statement (MVR-180) 2. 13 Disclosure of odometer. LEASED VEHICLE ODOMETER DISCLOSURE NOTICE AND STATEMENT If you are purchasing from or returning to a dealership: If you are purchasing the vehicle from GM Financial: 1. Damage Disclosure Statement (MVR-181) Highway-Use Tax Exemption Certificate (MVR-613) 1 – if being transferred between. Or you may need to complete also the Kansas Odometer Disclosure Statement – Form TR-59 (Rev. Odometer / Mileage Disclosure Statement: Complete the information below : Federal law (and State law, if applicable) requires that the lessee disclose the mileage to the lessor in connection with the transfer of ownership. Below it can find the Indiana state-approved fillable PDF form for your used. This value seems rather it was. You should use your charge card or PayPal profile to complete the financial transaction. Odometer Disclosure Statement (Form 43230). The odometer disclosure must contain a physical signature, hand-written in ink. Oklahoma: Form 729. INDIANA BUREAU OF MOTOR. Odometer Disclosure Statement: PDF Word: BMV 3751: Titles: Minor Consent Form: PDF Word: BMV 3754: Titles: Ownership Assignment and Title Application for Insurance Companies : PDF. Even if the vehicle is considered “exempt,” if the seller does not write “exempt” and makes a mileage disclosure on the odometer disclosure form, this. 6 (a) (1) is now redesignated as § 580. 6 to “Additional Requirements for Electronic Odometer Disclosures” to add clarity and precision. “Clocking” an odometer is a misdemeanor under Georgia law. CompleteThen, make sure you understand the purpose of an odometer disclosure statement. When a motor vehicle is sold or transferred, the odometer reading must be recorded in the assignment section of the title by the seller. State Form 43230 (R3 / 5-13) INDIANA BUREAU OF MOTOR VEHICLES. All information on the disclosure statement can be. Indiana Odometer Disclosure Statement Form. The odometer disclosure statement must be on either the certificate of title. an odometer disclosure statement is required to be attached to a vehicle bill of sale at the time of purchase for all vehicles below 16,000 pounds and under 10 years of age when is an odometer disclosure statement needed according to both federal and state laws all 50 states require the disclosure to be filed in order for the buyer to transfer the vehicle into. Mileage will be branded as “Not Actual” unless a completed and signed odometer statement from the owner of record is provided. , Sections 580. State Form 43230 Is Often Used In Indiana Bureau Of Motor Vehicles, Disclosure Form, Odometer Disclosure Statement, Indiana Legal Forms, Legal And United States Legal Forms. The federal and state laws require the selling to disclose the running odometer mileage for any vehicle model year 2011 or newer, self-propelled, or with a registered weight of 16,000 lbs. F. florida odometer verification form. com Odometer Disclosure Statement – State Form 43230 or other conforming odometer statement . However, vehicles ten years and older are exempt from this requirement. Choose from 85,000 state-specific document templates available for download in Word and PDF. (2) A vehicle described in IC 9-17-1-1 (c). The date of sale. DESCRIPTION AND DEFINITIONS: “Truth in Mileage Act” or TIMA. The Motor Vehicle Information and Cost Savings Act (sometimes known as the federal odometer act and described here as the “Act”), 49 U. The Odometer Disclosure Statement includes dedicated spaces for the vehicle description, buyer and seller details, and the odometer reading. 12. g. New Mexico: Form MVD 10187 - Odometer Disclosure Statement New York: Form MV-103 - Odometer and Damage Disclosure Statement North Carolina: Form MVR-180 - Odometer Disclosure Statement North. Odometer Disclosure Statement – State Form 43230 or other conforming odometer statement . 6 (a) (1) is now redesignated as § 580. An odometer disclosure statement or a completed odometer statement on the vehicle title A physical inspection of a vehicle or watercraft (if required) Proof of address Proof of social security number or a federal identification number (FIN) Payment for all applicable vehicle title transfer fees and sales tax fee of 7%If your vehicle is equipped with an odometer capable of reading 999,999 miles, you need only write in the odometer disclosure "the actual mileage shown" on the odometer. Under the new odometer disclosure. Mileage will be branded as “Not Actual” unless a completed and signed odometer statement from the owner of record is provided. Odometer rolling is a typically used car fraud. After you buy or receive a vehicle as a gift, you have 15 days to transfer the ownership into your name. State Form 43230 (R3 / 5-13). Failure to complete or providing a false statement may result in fines and/or imprisonment. ALTERATIONS OR ERASURES VOID THIS FORM . This Bill of Sale of Automobile contains the following information: the make/model of the car, VIN number and other information. ). ODOMETER DISCLOSURE STATEMENT Federal law at State change if applicable requires that you confine the. Securely download your document with other editable templates, any time, with PDFfiller. Standard Odometer Disclosure Statement: This is the most common type of Indiana odometer statement, used for general vehicle sales or transfers. A bill of sale is required when transferring a vehicle’s title in a private sale. On any device & OS. A separate Odometer Disclosure Statement is included with the bill of sale. free odometer disclosure statement form. Draw your signature, type it, upload its image, or use your mobile device as a signature pad. An odometer disclosure statement declares the mileage on your vehicle. A bill of sale is required when transferring a vehicle’s title in a private sale. Indiana and having non-Indiana domiciled partners or non-unitary Line 4. Powerful Remedies. National Highway Traffic Safety Administration (NHTSA) Tenn. Certificates of Title › Chapter 2. Odometer Disclosure Statement Massachusetts Withholding. If you are looking for a state-specific legal template, check out US Legal Forms. Proof of ownership of the vehicle, which may include: The assigned Manufacturer’s Certificate of Origin (MCO). 05. They shall retain allSouth Carolina Bills of Sale. Odometer Disclosure Statement The Bureau of Motor Vehicles' form for disclosing the number of miles on a car you intend to sell in Indiana. (2) a secure reassignment form for licensed. Finally, the buyer must sign and print his or her name,. When an odometer mileage disclosure statement is required, the information must be provided by the seller, not the buyer. 9 Odometer record retention for auction companies. Find more details lower. Requested apply only dark or black solid to complete it. or fewer. 12. The vehicle purchase price, stated on any of the following: The title certificate. If you need or decide to use the Illinois Odometer Disclosure Statement Form VSD 333. Indiana Speedometers - get access to a huge library of legal forms. How to complete an Indiana Bill of Sale Form. Authorization for Automatic Withdrawals. 319. writing upon transfer of ownership. Odometer Disclosure Statement - State Form 43230; Mechanic’s Lien Bill of Sale - State Form 23104; Trailer Ownership Affidavit - State Form 43753 Odometer Disclosure Statement – State Form 43230. when a motor vehicle, for which an odometer disclosure is required, has been purchased. In certain cases you may also use the state-approved Odometer Disclosure Statement Form GA-25. 00 Transportation Infrastructure FeeOdometer Disclosure Statement State Form 43230. Line 3. Vehicle Title 1. Form US-00431. Find reusable templates specific to your state in the most comprehensive online forms catalog, with 24/7 access to your purchased samples. This form is State Form 43230 and should be turned in to the Bureau of Motor Vehicles. 055 Springfield, IL 62756 Federal and state laws require that you state the mileage in a transfer of ownership. Odometer Disclosure Statement (Form 43230). In Indiana, the paperwork should include: Application for certificate of title; Bill of sale, sales contract, or purchase order; Title transfer fees; Odometer disclosure statement; Completed and signed document of physical inspection; Copy of drivers license or identification card as proof of address. F. The final rule similarly changes the heading for § 580. Payment for your titling and registration fees. The disclosure must be signed by the seller, including the. I am aware of the above odometer certification made by the seller. Bill of sale. The purchaser must sign the disclosure statement, including printed name and address, and return a copy to the seller. S. ODOMETER DISCLOSURE STATEMENT. State Form 43230 Odometer Disclosure Statement - Indiana. 192. Please employ available black or black ink to. 5. 6. 580. Odometer Disclosure Statement – State Form 43230, if the odometer statement is not completed on the certificate of title or certificate of origin. In certain cases you allow and use the state-approved print to complete the odometer disclosure statement. All trailers and motor vehicles weighing over 16,000 pounds are exempt. Odometer Disclosure Statement for Title Transfers Secretary of State Vehicle Services Department 501 S. To access and acquire state-specific legal templates, subscribe to US Legal Forms. Created Date: 10/13/2010 2:53:41 PMIn certain cases your may moreover utilize the state-approved formen to complete the odometer disclosure statement. Obtaining an odometer disclosure statement. In the second section fill in the full PRINTED name of the seller(s). Save or instantly send your ready documents. ODOMETER DISCLOSURE STATEMENT. Updated June 1, 2023. Every single legitimate papers web template you buy is. If the odometer information is missing from the title, both the new and original owners must complete an Odometer Disclosure Statement (Form 43230);Effective 10/1/2020 41-1a-902. The disclosure must be signed by the seller,. Proposed § 580. at state that the odometer now reads (seller's name ) (seller's address) The law requires a car seller provide a statement on the title if the odometer’s mileage is incorrect. 9-2021). 1. Affidavit of Police Officer/Physical Inspection of an Indiana Resident's Vehicle (Form 39530). Alicia Akins said she bought her vehicle on March 5 and everything was running fine on the car until Detective Brandon Farias with ISP called and told her she was a victim of odometer fraud. L. CITY Lessee’s Signature: _____ Date of Statement: _____Step 1: Obtain the proper form. You SHOULDN’T use this form when a Florida title which was issued on or after April 29,. Note: The Motor Vehicle Division is not responsible for false or fraudulent odometer statements made in connection with transfer of ownership or held liable for recording errors. Lienholder or lease documents, if applicable. This affidavit is submitted to request the State of Indiana, Bureau of Motor Vehicles to issue an Indiana. Flexible Auto Sales is located in Shipshewana. ☐ Odometer statement completed on the ownership document or on an Odometer Disclosure Statement – State Form 43230. Next the seller will certify and fill in the current odometer reading. Looking for. If a car is exempt from the odometer disclosure statement, “Exempt” may be listed on the title. When you are selling a vehicle with an incorrect odometer reading you are usually required to complete an odometer disclosure statement. Mileage will be branded “Not Actual. 217-2014, SEC. driver's license, current utility bill, etc. 2. In accordance with federal and state law, the seller of a motor vehicle must disclose the current mileage to a purchaser in writing upon transfer of ownership. Motor Vehicles. Provide the date of sale and the name and address of the seller. For this reason, odometer disclosure statements have been. R. Pa Odometer Statement.