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Odometer Disclosure Statement - Ohio

Odometer Disclosure Statement Form. This is a Ohio form and can be used in Title Office Lorain County (Court Of Common Pleas) .
 Fillable pdf Last Modified 11/11/2013
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Ron Nabakowski Lorain County Clerk of Common Pleas Court Title Division ODOMETER DISCLOSURE STATEMENT Type or Print in Ink Ohio and Federal law requires that you state the mileage upon transfer of a motor vehicle. Failure to complete or providing a false statement may result in fines and/or imprisonment. I, (Transferor"s Name) (Seller) state that the odometer now reads thousands , hundreds . X and to the best of my knowledge it reflects the actual mileage of the vehicle described below, unless one of the following statements is checked. (1) I hereby certify that to the best of my knowledge the odometer reading reflects an amount of mileage in excess of it's mechanical limits. (2) I hereby certify that the odometer reading in NOT the actual mileage. WARNING - ODOMETER DISCREPANCY. VEHICLE IDENTIFICATION MAKE MODEL BODY TYPE VEHICLE IDENTIFICATION NUMBER YEAR X TRANSFEROR'S SIGNATURE (SELLER) PRINTED NAME TRANSFEROR'S STREET ADDRESS CITY STATE ZIP CODE DATE OF STATEMENT X TRANSFEREE'S SIGNATURE (BUYER) PRINTED NAME TRANSFEREE'S STREET ADDRESS CITY STATE ZIP CODE American LegalNet, Inc. www.FormsWorkFlow.com
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