Texas Odometer Statement Template

Texas Odometer Statement Template

The Texas Odometer Statement form, officially known as VTR-40, is a crucial document that verifies the mileage of a vehicle during ownership transfer. Both federal and state laws mandate accurate reporting of this mileage to prevent fraud and protect buyers. Failing to complete this form correctly can lead to serious penalties, including fines and potential imprisonment.

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When buying or selling a vehicle in Texas, one crucial document comes into play: the Texas Odometer Statement form, also known as VTR-40. This form plays a vital role in ensuring transparency during the transfer of ownership. It requires the seller to disclose the vehicle's mileage, which is not only a matter of good practice but also a legal obligation. Under both federal and state law, providing an accurate odometer reading is essential. Failure to do so can lead to serious consequences, including fines or even imprisonment. The form includes key details such as the vehicle's description—year, make, model, body style, and the Vehicle Identification Number (VIN)—as well as the seller's certification of the odometer reading. If the mileage exceeds the mechanical limits of the odometer or if the reading is not accurate, the seller must check the appropriate box to clarify this discrepancy. Additionally, the buyer must acknowledge the odometer disclosure, ensuring both parties are aware of the mileage status. This straightforward yet critical document helps protect both buyers and sellers, fostering trust in the vehicle transaction process.

Texas Odometer Statement Sample

(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.

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Key takeaways

Here are some important points to remember when filling out and using the Texas Odometer Statement form:

  • Required by Law: Both federal and state laws mandate that the odometer mileage must be disclosed when transferring ownership of a vehicle.
  • Consequences of False Statements: Providing incorrect information can lead to serious penalties, including fines and possible imprisonment.
  • Not for Title Transfers: This form cannot be used with title transfer documents that already meet federal and state odometer disclosure requirements.
  • Complete Vehicle Information: Make sure to fill in the vehicle's year, make, model, body style, and Vehicle Identification Number (VIN).
  • Certify the Odometer Reading: The seller must certify that the odometer reading reflects the actual mileage, unless specific conditions apply.
  • Check for Discrepancies: If the odometer reading is not accurate, or if it exceeds mechanical limits, be sure to check the appropriate box on the form.
  • Buyer Acknowledgment: The buyer or agent must acknowledge the odometer disclosure by signing the form, confirming awareness of the seller's statement.
  • Firm Names: If the vehicle is being sold by or to a business, include the firm's name where indicated.