Sale Transfer
Self-Guided Legal Forms
Odometer Disclosure Statement
Record the federal odometer disclosure facts for a vehicle transfer, including the seller, buyer, vehicle identification number, mileage reading, mileage-status selection, certification, and dated signatures without claiming state title or registration compliance.
Also called: vehicle mileage disclosure.

What you walk away with
A clean multi-page PDF and DOCX after you finish — not a web-form dump. Preview the document before you pay.
- PDF export
- DOCX export
- E-sign included
- No subscription
This product is limited to the verified federal disclosure baseline and does not represent state title or registration compliance.
Jurisdiction details
See how this document starts in your state
Choose the state where the document will be used. The state page shows the maintained coverage level, local-rule limits, and a builder link with the canonical state code already selected.
When this fits
Use this document when…
- Vehicle transfer
- Mileage disclosure record
- Seller certification
- Title paperwork support
Before you start
Information you will need
- Seller and buyer
- VIN
- Vehicle description
- Mileage
- Mileage status
What you receive
- DOCX
- Printable disclosure
- Downloadable record
Document questions
Questions about this document
What is a Odometer Disclosure Statement?
Record the federal odometer disclosure facts for a vehicle transfer, including the seller, buyer, vehicle identification number, mileage reading, mileage-status selection, certification, and dated signatures without claiming state title or registration compliance.
How do I create a Odometer Disclosure Statement?
Vehicle transfer; Mileage disclosure record; Seller certification
What should a Odometer Disclosure Statement include?
Seller and buyer; VIN; Vehicle description; Mileage; Mileage status
Special situations
- Actual mileage
- Mileage exceeds mechanical limits
- Mileage is not actual
Frequently asked questions
Does this transfer title?
No. It records odometer disclosure facts only.
Does it replace a state title form?
No. State title and registration requirements remain separate.
Can the mileage status be selected?
Yes. The statement records one of the supported mileage statuses.
Who signs it?
The seller certifies the mileage disclosure and the buyer may acknowledge receipt.
Does it guarantee title acceptance?
No. The applicable title authority controls acceptance requirements.
Related documents
Not legal advice
Locke Direct helps structure documents and workflows. It does not replace a qualified lawyer for complex, unusual, or high-risk situations.
Last reviewed September 1, 2026.