The Texas Odometer Statement form, officially known as VTR-40, is a document required during the transfer of vehicle ownership. This form ensures that the mileage is accurately reported, as federal and state laws mandate disclosure of odometer readings. Failing to complete this form correctly can lead to serious legal consequences, including fines and imprisonment.
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.
WARNING: TRANSPORTATION CODE, §501.155, PROVIDES THAT FALSIFYING INFORMATION ON ANY REQUIRED STATEMENT OR APPLICATION IS A THIRD-DEGREE FELONY.
Here are five common misconceptions about the Texas Odometer Statement form:
When filling out the Texas Odometer Statement form, it is crucial to understand its importance in the vehicle transfer process. Here are key takeaways to keep in mind:
Completing the Texas Odometer Statement accurately is vital for a smooth vehicle transfer process. Take the time to review the form and ensure all information is correct before finalizing the transaction.
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