Free Texas Odometer Statement Form in PDF Make Your Document Now

Free Texas Odometer Statement Form in PDF

The Texas Odometer Statement form is a crucial document required during the transfer of vehicle ownership in Texas. It ensures that the mileage of a vehicle is accurately disclosed, safeguarding both buyers and sellers from potential fraud. Completing this form correctly is not just a formality; it is mandated by federal and state law, and failing to do so can lead to serious consequences.

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Similar forms

The Texas Odometer Statement form serves a critical purpose in vehicle ownership transfers, ensuring that the mileage of a vehicle is accurately disclosed. Several other documents share similar functions in terms of verifying information and protecting both buyers and sellers. Here are four documents that are comparable to the Texas Odometer Statement:

  • Bill of Sale: This document records the transaction between the seller and buyer, detailing the sale price and vehicle information. Like the Odometer Statement, it helps establish the authenticity of the sale and provides proof of ownership transfer.
  • NYCERS F266 form: This essential document is for Tier 3 and Tier 4 vested members of the New York City Employees' Retirement System who wish to initiate payment of their Vested Retirement Benefit. For more details, visit https://nyforms.com/nycers-f266-template.
  • Vehicle Title: The vehicle title serves as legal proof of ownership. It contains essential information about the vehicle and must include the odometer reading at the time of sale. This ensures that both parties are aware of the vehicle's history and mileage.
  • Title Application: When applying for a new title, this document requires the applicant to disclose the odometer reading. Similar to the Odometer Statement, it aims to prevent fraud and ensure accurate mileage reporting during ownership transfers.
  • Vehicle History Report: This report provides a comprehensive overview of a vehicle’s past, including mileage records. It is similar to the Odometer Statement in that it helps buyers verify the accuracy of the odometer reading and uncover any potential discrepancies.

Document Sample

(Seller/Agent Name)

ODOMETER DISCLOSURE

STATEMENT

VTR-40 (Rev. 11/09)

DHT # 142235

Federal and State Law require that you state the mileage in connection with the transfer of ownership. Failure to complete or providing a false statement may result in fines and/or imprisonment. This form may not be used in conjunction with title transfer documents, which comply with federal and state odometer disclosure requirements such as Texas Certificate of Titles issued on or after April 29, 1990.

VEHICLE DESCRIPTION

Year

Make

Body Style

Model

Vehicle Identification Number

I, ______________________________________________, certify to the best of my knowledge that the odometer reading is

the actual mileage of the vehicle described above unless one of the following statements is checked:

Odometer

Reading

(No Tenths)

1.The mileage stated is in excess of its mechanical limits.

2.The odometer reading is not the actual mileage.

WARNING – ODOMETER DISCREPANCY.

Date ofSignature of Seller/AgentPrinted Name (Same as Signature) Statement

If titled in a firm’s name, print the firm’s name on the line above.

Street Address

City

State

Zip Code

ACKNOWLEDGMENT OF ODOMETER DISCLOSURE BY BUYER/AGENT

I am aware of the above odometer certification made by the seller/agent.

Date of

Signature of Buyer/Agent

Printed Name (Same as Signature)

Statement

 

 

If purchased by a firm, print the firm’s name on the line above.

Street Address

City

State

Zip Code

WARNING: TRANSPORTATION CODE, §501.155, PROVIDES THAT FALSIFYING INFORMATION ON ANY REQUIRED STATEMENT OR APPLICATION IS A THIRD-DEGREE FELONY.

Key takeaways

When filling out the Texas Odometer Statement form, it is essential to keep the following key points in mind:

  • Accurate Mileage Reporting: The form requires the seller to provide the actual mileage of the vehicle. Any false statement can lead to serious legal consequences.
  • Limitations on Use: This form cannot be used with title transfer documents that meet federal and state odometer disclosure requirements, such as Texas Certificates of Title issued after April 29, 1990.
  • Disclosure Acknowledgment: The buyer or their agent must acknowledge the odometer certification made by the seller. This step is crucial for ensuring transparency in the transaction.
  • Legal Consequences: Falsifying information on the form is considered a third-degree felony under Texas law. Understanding this risk is vital for both sellers and buyers.

Instructions on How to Fill Out Texas Odometer Statement

Completing the Texas Odometer Statement form is essential for ensuring accurate mileage disclosure during the transfer of vehicle ownership. After filling out this form, it should be submitted along with the necessary documents for the title transfer. Below are the steps to guide you through the process of filling out the form correctly.

  1. Begin by entering the Seller/Agent Name at the top of the form.
  2. Fill in the Year, Make, Body Style, Model, and Vehicle Identification Number (VIN) of the vehicle being sold.
  3. In the designated space, write the Odometer Reading without tenths.
  4. Certify the odometer reading by signing your name in the space provided. Include your Printed Name beneath your signature.
  5. If the vehicle is titled in a firm’s name, make sure to print the firm’s name on the line above your signature.
  6. Next, provide your Street Address, City, State, and Zip Code in the appropriate fields.
  7. Check one of the boxes if applicable: either that the mileage is in excess of its mechanical limits or that the odometer reading is not the actual mileage.
  8. For the Acknowledgment of Odometer Disclosure by Buyer/Agent, the buyer or their agent must sign and print their name in the designated area.
  9. If purchased by a firm, the firm’s name should also be printed on the line above the buyer/agent’s signature.
  10. Lastly, the buyer/agent must provide their Street Address, City, State, and Zip Code in the respective fields.