Odometer Discrepancy Statement - Tennessee

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TENNEESSEE DEPARTMENT OF REVENUE RV-F1310801 (Rev. 3-21). Odometer Discrepancy Statement PURPOSE: The seller can explain and certify any discrepancies that may have occured regarding the Odometer . The purchaser can certify that they understand the circumstances. INSTRUCTIONS: The seller and purchaser must complete the respective portions below in their entirety. A. Seller's Statement of Facts: This is to certify that on _________, I, ___________________________ sold the following described vehicle (VIN, Make, Model and Year) ________________________________________ __________________ to ________________________________________ . Seller's Street Address: ________________________________________ ________________________________________ _______________.

pertaining to the transfer of ownership of this vehicle reflected an incorrect odometer reading due to the following reason(s): _____ Under Federal Law, making an inaccurate or untruthful statement may make you liable for civil damages and for

  Testament, Tennessee, Ownership, Of ownership