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SEPARATE ODOMETER DISCLOSURE STATEMENT AND …

STATE OF FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES DIVISION OF MOTORIST SERVICES SUBMIT THIS FORM TO YOUR LOCAL TAX COLLECTOR OFFICE SEPARATE ODOMETER DISCLOSURE STATEMENT AND ACKNOWLEDGMENT VEHICLE DESCRIPTIONV ehicle Identification Number Year Make Color Body Title Number ODOMETER DISCLOSURE STATEMENT WARNING: Federal and State law requires that you state the mileage in connection with an application for a Certificate of Title. Failure to complete or providing a false STATEMENT may result in fines and/or imprisonment. WE STATE THAT THIS 5 or 6 DIGIT ODOMETER NOW READS.

2. when a motor vehicle, for which an odometer disclosure is required, has been purchased. 3. when an odometer disclosure statement and acknowledgment between the buyer and the seller is required, but no odometer disclosure statement has been made on another state or federal form. when should this form not be used? 1.

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