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ODOMETER DISCLOSURE STATEMENT

Revised 7/2017 ODOMETER DISCLOSURE STATEMENT The form may only be used when: 1. Certificate of Title is to be issued by court order; 2. a dealer has voided an assignment on a Manufacturer s STATEMENT of Origin and is attempting to reassign; 3. a law enforcement agency is making application for Certificate of Title to an Abandoned Vehicle; 4. submitting an Affidavit of Transfer of Decedent s Motor Vehicle and the previous Certificate of Title is not available; 5. making application for a Storage-Repair Lien. Federal and State law requires that the seller state the mileage in connection with the Transfer of Ownership.

ODOMETER DISCLOSURE . STATEMENT . The form may only be used when: 1. Certificate of Title is to be issued by court order; 2. a dealer has voided an assignment on a Manufacturer’s Statement of Origin and is attempting to reassign; 3. a law enforcement agency is making application for Certificate of Title to an Abandoned Vehicle;

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