Transcription of Odometer/Mileage Disclosure Statement
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Odometer/Mileage Disclosure Statement
If you are purchasing* your vehicle:If you are returning your vehicle:Please complete and fax to: 888-295-8891 ORAttach form to check and send to: HCA Exchange, Inc. Dept. CH 14301 Palatine, IL 60055-4301A. Print formB. Bring along to vehicle turn-inC. Complete and sign at dealerOdometer/Mileage Disclosure StatementComplete the Information BelowFederal law (and State law, if applicable) requires that the lessee disclose the mileage to the lessor in connection with the transfer of ownership. Failure to complete or making a false Statement may result in fines and/or imprisonment.
If you are purchasing* your vehicle: If you are returning your vehicle: Please complete and fax to: 888-295-8891 OR Attach form to check and send to: HCA Exchange, Inc. …
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