Texas PDF Templates

Texas PDF Templates
Homepage ➾ Blank Texas Odometer Statement PDF Template
Contents

Form Example

(Seller/Agent Name)

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.

Street Address

City

State

Zip Code

WARNING: TRANSPORTATION CODE, §501.155, PROVIDES THAT FALSIFYING INFORMATION ON ANY REQUIRED STATEMENT OR APPLICATION IS A THIRD-DEGREE FELONY.

More PDF Templates

How Much Does It Cost to Register a Business in Texas - Be prepared to provide card details including the security code when paying by credit card.

Insurance Cert - This COI must be submitted to the Texas State Board of Plumbing Examiners.

What Age Can You Get a Hardship License in Texas - All details on the application must be filled out using ink.

Common mistakes

  1. Neglecting to provide complete vehicle information: Ensure that all sections regarding the vehicle description, including year, make, body style, model, and Vehicle Identification Number (VIN), are filled out accurately. Missing information can lead to complications during the title transfer process.

  2. Incorrect odometer reading: The odometer reading must be reported without tenths. Double-check to confirm that the number is accurate and reflects the actual mileage. An incorrect reading can result in legal issues.

  3. Failing to check the appropriate statements: If the odometer reading is not the actual mileage or if it exceeds mechanical limits, make sure to check the corresponding box. This disclosure is crucial for transparency.

  4. Omitting signatures: Both the seller and buyer (or their agents) must sign the form. Without these signatures, the document may be considered incomplete, which can delay the transfer process.

  5. Not including printed names: The printed names of both the seller and buyer should match their signatures. This helps verify identities and ensures accountability.

  6. Incorrect address information: Provide accurate street addresses, city, state, and zip code for both parties. Incorrect addresses can lead to confusion and potential legal issues.

  7. Ignoring the warning about falsifying information: Be aware that providing false information on this form can lead to severe penalties, including fines or imprisonment. Take this requirement seriously.

  8. Using the form with the wrong title transfer documents: This odometer disclosure statement cannot be used alongside title transfer documents that comply with federal and state requirements. Ensure you are using the correct forms to avoid complications.

Key takeaways

Filling out the Texas Odometer Statement form is an important step in the vehicle transfer process. Here are key takeaways to keep in mind:

  • Purpose: This form is required by federal and state law to disclose the mileage of a vehicle during ownership transfer.
  • Accuracy is Crucial: Providing false information can lead to severe penalties, including fines and imprisonment.
  • Not for Title Transfers: This form cannot be used with title transfer documents that already meet odometer disclosure requirements.
  • Vehicle Information: Ensure to include accurate details such as the year, make, model, and Vehicle Identification Number (VIN).
  • Certification: The seller must certify that the odometer reading reflects the actual mileage unless specific conditions apply.
  • Options for Mileage: The seller can indicate if the mileage exceeds mechanical limits or if it is not the actual mileage.
  • Buyer Awareness: The buyer or their agent must acknowledge the odometer certification made by the seller.
  • Signature Requirement: Both the seller and buyer must sign the form, along with providing their printed names and addresses.
  • Legal Consequences: Falsifying information on this form is considered a third-degree felony under Texas law.

Completing this form accurately helps protect both the buyer and seller in the transaction. It is essential to take the time to fill it out correctly to avoid any potential legal issues in the future.

⇓ Texas Odometer Statement PDF

Steps to Using Texas Odometer Statement

Once you've gathered the necessary information, you're ready to fill out the Texas Odometer Statement form. This document is essential for transferring vehicle ownership and ensuring that all parties are aware of the vehicle's mileage. Follow these steps carefully to complete the form accurately.

  1. Start by entering the Seller/Agent Name at the top of the form.
  2. Fill in the Year, Make, Body Style, and Model of the vehicle.
  3. Locate the Vehicle Identification Number (VIN) and write it down.
  4. In the next section, write your name in the blank space provided, certifying the odometer reading.
  5. Enter the Odometer Reading without tenths in the designated area.
  6. If applicable, check one of the boxes to indicate if the mileage is in excess of its mechanical limits or if the odometer reading is not the actual mileage.
  7. Sign and date the form in the Signature of Seller/Agent section.
  8. Print your name exactly as you signed it in the Printed Name field.
  9. If the vehicle is titled in a firm's name, write the firm's name above your printed name.
  10. Complete your Street Address, City, State, and Zip Code.
  11. In the ACKNOWLEDGMENT OF ODOMETER DISCLOSURE BY BUYER/AGENT section, the buyer or agent must sign and date the form.
  12. Print the buyer's or agent's name as it appears on the signature line.
  13. If the purchase was made by a firm, include the firm's name on the line provided.
  14. Finally, fill out the Street Address, City, State, and Zip Code for the buyer or agent.