odometer disclosure statement nc. CITY Lessee’s Signature: _____ Date of Statement: _____and odometer statement, if applicable; and 2. odometer disclosure statement nc

 
 CITY Lessee’s Signature: _____ Date of Statement: _____and odometer statement, if applicable; and 2odometer disclosure statement nc Form BMV3724 Odometer Disclosure Statement - Ohio

In the State of North Carolines you may need go complete also the North Carolina Odometer Disclosure Statement Form – Form MVR-180 (Rev. The average age of the United States vehicle fleet has been trending upward and recently reached 11. Odometer Disclosure Statement RV-F1317001 (Rev. (2) Non-motorized. AUTHORITY: U. Step 2: After you've entered the editing page notarized odometer. Final fill in. Draw your signature, type it, upload its image, or use your mobile device as a signature pad. If you’re. An Odometer Disclosure Statement (MVR-180), signed by you and the buyer, if the vehicle is less than 10 years old. 802. Share your form with others. 124 and Title 49 of the Code of Federal Regulations (C. TR-3. Even if the vehicle is considered. You don't have to do much to change notary odometer disclosure statement files. The North Carolina Odometer Disclosure Statement Select MVR-180 can composed of four sections. Dealers and distributors of motor vehicles who are required by this Part to execute an odometer disclosure statement shall retain, for five. 12. To make sure your odometer disclosure statement texas vtr 40 is safe and your signatures aren't forged, you can utilize one of these methods:. 12/20) North Carolina Division of Motor Vehicles . Use Fill to complete blank online NORTH CAROLINA DEPARTMENT OF TRANSPORTATION (NC) pdf forms for free. 17 (3) currently exempts any vehicle which is more than 10 years old from the odometer disclosure requirements. Odometer Disclosure Statement. 045 Original Applications 5. 12/20). Satisfied. LEASED VEHICLE ODOMETER DISCLOSURE NOTICE AND STATEMENT P. You can locate more about this below. Click on New Document and select the file importing option: upload Pa odometer statement from your device, the cloud, or a protected link. Disclosure requirements. Odometer disclosure record retention. How to Edit Odometer Statement Mvr 180 Online for Free. Important: If the Bill of Sale (Section 2) and/or Power of Attorney (Section 5) information was completed, retain the REG 262 with the application even when the Odometer Disclosure Statement. Report. (a) Dealers and distributors of motor vehicles who are required by this Part to execute an odometer disclosure statement shall retain, for five years, a photostat, carbon, or other facsimile copy of each odometer mileage statement which they issue or receive. 4-4. Odometer statement for transfer of vehicle without title (legal affidavit or court document) Federal and State law requires that you state the mileage upon transfer of ownership. Edit your colorado odometer disclosure online. Find out the other. mileage in connection with the transfer of ownership. Signature of the seller (s). Registration fees and taxes. Export the file you need to your device or the cloud and print it over and over again. Odometer Disclosure Statement. Edit your illinois odometer statement online. CITY Lessee’s Signature: _____ Date of Statement: _____In secure cases you may and use to state-approved Odometer Disclosure Statement Form MVR-180. Odometer Disclosure Statement Federal law ( 49 U. Type text, add images, blackout confidential details, add comments, highlights and more. An Odometer Disclosure Statement if the motorcycle is less than 10 years old; A Damage. Proof of car. Bottom i becoming learn how to complete this guss: Vehicle Sectioning. C. Draw your signature, type it, upload its image, or use your mobile device as. To accommodate older vehicles, the Final Rule will require odometer. 14-209, or under other statutes that prohibit false statements under oath. with an incomplete odometer mileage disclosure statement. An odometer disclosure statement is a legal form that states that the odometer reading is accurate. This document is of importance to both parties as the seller must disclose. Odometer Disclosure Statement (Form & Instructions) | MVD10187 | Download PDF. Vancouver Washington Bill of Sale for Automobile or Vehicle including Odometer Statement and Promissory Note Discover and download an official state-specific template from our electronic catalogue of 85k legal forms for company and personal purposes. Bitte understand that an inaccurate statement, or failure to total an odometer statement, may result in fines and/or arrest. Code § 32705 ) requires a bill of sale to include a verifying statement about the mileage of the vehicle. The current registration (for cars purchased out of state). Cash, check, or money order for the $38. The new twenty-year exemption eligibility requirements will affect vehicles of model year 2011 and newer. Step 2: Now you are capable of edit nc mvr180. You will also have to disclose your vehicle’s odometer reading and car’s mileage. So here complete first and Year, Take, Body fashion (type), Model, and WINES Number. An odometer disclosure statement is a required attachment to a vehicle bill of sale at the time of purchase for all. Witness: The application must be witnessed by a notary public or other person authorized to act in the capacity. I hereby certify that the odometer reading reflects the amount of mileage in excess of its. Titles typically are necessary for licensing your vehicle. The enclosed form has made this separation. This does not change anything for vehicles that are currently exempt. Federal and State laws require all dealers to disclose any type of odometer discrepancy to all future buyers before the sale. I certify that the above-listed odometer reading is NOT the actual mileage. Alterations or erasures void this form. Type text, add images, blackout confidential details, add comments, highlights and more. VT-005. You have to state the odometer mileage for any vehicle that is model year 2011 or newer, below 16,000 pounds and self-propelled. odometer disclosure statement (if required) Damage disclosure statement. Disclosure that the actual mileage is unknown, if the transferor knows that the odometer reading is different from the number of miles the vehicle has actually traveled. The odometer disclosure should contain: The complete vehicle description (make, year model, body type, and vehicle identification number). High Point North Carolina Bill of Sale of Automobile and Odometer Statement Stay away from difficulties connected to the standard need for looking for legal templates online. Request for Total Loss Salvage Title. (Seller), state that the odometer reading shown above (see Pg. NOTICE TO BUYER: Correction to odometer disclosure statement . An additional document that proves NC residency, if you are a non-resident. NORTH CAROLINA To my knowledge, the vehicle described. The following chart can be used for reference:Odometer Disclosure Statement (MVR-180) Must be completed if the vehicle is less than 10 years old. Odometer Disclosure Statement - State Form 43230; Mechanic’s Lien Bill of Sale - State Form 23104; Trailer Ownership Affidavit - State Form 43753; Dealer Service Forms . on from the borrower who was in default of a security contract dated . § 20-347. 1. Apt. Instructions and help about odometer disclosure statement nc. Both the transferor and the transferee shall retain aComplete every fillable area. dmv. Forms to sell a car in North Carolina: The title u2013 also known as the u201cpink slip. The fee is $56 to transfer a title, plus the base registration fee of $38. 02. To the best of my knowledge, this vehicle ☐ HAS ☐ HAS NOT (Check One) sustained damage, exclusive of any costs to repair, replace or reinstall air bags and other components that were replaced due to deployment of air bags, in excess of 70% actual cash value. FM-30 Individual Permanent Assignment of Vehicle New. Lastly pack into the last Plate Number on of vehicle. On average this form takes 2 minutes to complete. Keywords relevant to odometer brand nc form what is the. How do you fill out an odometer disclosure statement in NC?Failure to complete an odometer disclosure statement or providing false information may result in fines and/or imprisonment. %PDF-1. Note: The Motor Vehicle Division is not responsible for false or fraudulent odometer statements made in connection with transfer of ownership or held liable for recording errors. Type text, add images, blackout confidential details, add comments, highlights and more. To the best of my knowledge, this vehicle ☐ HAS ☐ HAS NOT (Check One) sustained damage, exclusive of any costs to repair, replace or reinstall air bags and other components that were replaced due to deployment of air bags, in excess of 70% actual cash value. An odometer disclosure statement is not required if the vehicle is: (1) A vehicle that is 10 years or older. INSTRUCTIONS ON REVERSE. In certain suits you might also use the state-approved Odometer Disclosure Declaration Form MVR-180. 47E, requires the seller of residential real estate (one to four dwelling units) to complete a form—known formally as the Residential Property and Owners' Association Disclosure Statement—disclosing conditions and defects with the property. Under you will learn how to comprehensive this form: Vehicle Section. Buy now. The odometer disclosure statement is a form that is required attachment to a Vehicle Bill of Sale at the time of purchase for all vehicles below 16,000 pounds and under 10 years of age. Section 4-4 . Fill Out The Damage Disclosure Statement - North Carolina Online And Print It Out For Free. Certificate of Title. Quick Titles have an additional $50 fee. 319. Federal law and section 233a of the Michigan Vehicle Code require that you state the . MVR-180 Odometer Disclosure Statement. If you need a copy of the form, there are 2 ways to get it: Pick one up at any vehicle licensing office. Sign it in a few clicks. Odometer Mileage Disclosure Statements . O. North Dakota Statement Trusted and secure by over 3 million people of the world’s leading companies. The following chart can be used for reference: Odometer Disclosure Statement (MVR-180) Must be completed if the vehicle is less than 10 years old. Form 729 Revised 11-2013 Oklahoma Tax Commission Motor Vehicle Division Odometer Disclosure Statement Federal law (and State law, if applicable) requires first coast service options inc Florida Medicare Part B request for redetermination or reopening form Requests must be filed within 120 days of original claim determination. Type text, add images, blackout confidential details, add comments, highlights and more. Basically check out these steps. Depending on the state (see table below), the Department of Motor Vehicles (DMV) may provide a state-specific odometer. ODOMETER MILEAGE STATEMENT. Submit Search. To the best of my knowledge, this vehicle ☐ HAS ☐ HAS NOT (Check One) sustained damage, exclusive of any costs to repair, replace or reinstall air bags and other components that were replaced due to deployment of air bags, in excess of 70% actual cash value. Model Year 2010 and older vehicles will continue to be exempt from federal odometer disclosure requirements. state that the odometer now reads . Section 3 - Odometer Disclosure Federal and State law require that you furnish to the transferee a written odometer disclosure statement upon transfer of ownership. 1. Odometer Disclosure Statement (MVR-180) 12/9/2020 5:21 PM: Kim Buttry: MVR-180 (Rev. An Odometer Disclosure Statement if the motorcycle is less than 10 years old; A Damage. North Carolyn Odometer Disclosure Statement Form Underneath you cand find details about the North Carolina state-approved fillable PDF form MVR-180 for your. —. warning – odometer discrepancy. Change state. The provisions of this disclosure statement section shall not apply to the following transfers: (1) A vehicle having a gross vehicle weight rating of more than 16,000 pounds; (2) A vehicle that is not self-propelled; (3) A vehicle that is 10 years old or older; or (4) A new vehicle prior to its first transfer for purposes other than resale. Winston–Salem North Carolina Bill of Sale of Automobile and Odometer Statement Take full advantage of our extensive internet form collection to ensure you always can get up-to-date samples that are ready for downloading, filling, and signing. Print MISSOURI DEPARTMENT OF REVENUE MOTOR VEHICLE BUREAU FORM ODOMETER DISCLOSURE STATEMENT INSTRUCTIONS ON REVERSE YEAR MAKE TITLE NUMBER REV. 1 Requirements. $25,000 for a single injury or death in an accident; $50,000 for cost of a total accident; $10,000 for property damage in an accident; Driver’s license/State Identification; If applying by mail, a vehicle price estimate by J. MVR-180 (REV. Most states have an Odometer Disclosure Statement that will allow you to report any type of odometer discrepancy. lessee information lessee’s name:Odometer Disclosure Statement - DPSMV1606 Author: lirobison Created Date: 11/18/2003 10:15:29 AM. 015 Court Actions 5. Get a subscription to download and complete them anytime effortlessly. 03. Failure to complete or providing false. Below you will hear how for complete this formular: Vehicle SektionAn odometer disclosure statement is a signed document containing accurate mileage of a vehicle based on the odometer’s reading. 03. Odometer Disclosure Statement is required for vehicles model year 2011 or newer. 055 Springfield, IL 62756 Federal and state laws require that you state the mileage in a transfer of ownership. Code §56-3-240;. Sign it in a few clicks. Fayetteville North Carolina Bill of Sale of Automobile and Odometer Statement for As-Is Sale Select a sample and get it in a convenient file format for you. The statement certifies the odometer reading at the time of the sale and must be signed by both the buyer and seller. You will need to fill out the title in the presence of a notary public. Create Document. An odometer brand is what briefly explains the circumstances that can support whatever the owner of the car placed on the odometer disclosure statement. 1. Odometer disclosure record retention. While sometimes merged with an odometer disclosure statement, the two are not to be confused, as. Click the Sign button and make a signature. Proposed § 580. Bill of Sale. If the vehicle is model year 201or newer and you are not submitting a separate Odometer Disclosure Statement, please 1Please understand that an wrong statement, or failure to complete an odometer statement, may result in penalty and/or imprisonment. Form MVR-180 is the Odometer Disclosure Statement provided by the North Carolina Department of Motor Vehicles. Find out the other documents and forms required for different types of vehicles and situations, such as leasing, salvaging, mobile homes and out-of-state vehicles. 124 and Title 49 of the Code of Federal Regulations (C. The seller(s) guarantees that the automobile is his/her/their property and is free of all claims and offsets of any kind. Sign it in a few clicks. Edit your colorado odometer disclosure online. Call 360. Provide the current odometer reading accurately, without including any tenths of a mile. Share your form with others. Learn. 1. Change state. A Damage Disclosure Statement (Form MVR-181). mvr-317. Odometer Statement Mvr 180 Author: FormsPal Subject: North Carolina Department of Transportation (NCDOT) Keywords: odometer statement nc, mvr 180, odometer disclosure statement nc, mvr180, nc odometer disclosure statement Created Date: 12/1/2020 2:58:40 PM5. “This is not the true and accurate mileage of this motor vehicle. The seller enters the exact odometer disclosure reading, fills out the damage disclaimer section, enters the vehicle delivery date, and signs and prints their name in the red field marked “2”. It has the purpose of officially registering the odometer numbers that are currently shown. ― Damage Disclosure Statement (Form MVR-181). Check each field has been filled in properly. Federal law (and State law, if applicable) requires that you state the mileage upon transfer of ownership. , the National Highway Traffic Safety Administration’s (NHTSA) odometer disclosure requirements were updated in December 2020 impacting certain private vehicle sales in North Carolina: For a vehicle transfer that occurs from January 1, 2021 through. Odometer. odometer disclosure form. Odometer disclosure statement (Form MVR-180) Damage disclosure statement (Form MVR-181)North Carolina Division of Motor Vehicles . 75 per year, county taxes, and other fees. Box 183581 | Arlington,. 010 Certificate of Title 5. ― Odometer Disclosure Statement (Form MVR-180) (for vehicles less than 10 years old). The first teilabschnitt includes the vehicle information details. 02. An odometer reading is reported as either the true or not true mileage for the vehicle. I certify that the above-listed odometer reading is NOT the actual mileage. The Odometer Disclosure Statement (Form MVR-180), if the car is less than 10 years old. Lastly fill in the last Plate Numbering on. Notarization. an odometer disclosure statement is required to be attached to a vehicle bill of sale at the time of purchase for all vehicles below 16,000 pounds and under 10 years of age when is an odometer disclosure statement needed according to both federal and state laws all 50 states require the disclosure to be filed in order for the buyer to transfer the vehicle into. P. When an odometer mileage disclosure statement is required, the information must be provided by the seller, not the buyer. 3019 (REV. Nc Odometer Disclosure Statement Trusted and secure by over 3 million people of the world’s leading companies. Jury Instruction - 1. Lien release, if applicable. Mileage will have a major effect on the value of a vehicle—high mileage motor vehicles cost much less than similar vehicles with fewer miles. an odometer disclosure statement is required to be attached to a vehicle bill of sale at the time of purchase for all vehicles below 16,000 pounds and under 10 years of age when is an odometer disclosure statement needed according to both federal and state laws all 50 states require the disclosure to be filed in order for the buyer to transfer the vehicle into. DMV Odometer Disclosure Statement (VSA-5)/Non-Secure Out of State Odometer Disclosure Form – A non-secure form used by individuals for disclosing an odometer reading with a non-conforming title certificate for the assignment of ownership from the titled owner (seller) to the buyer or by licensed dealers with the sale of a newSection 308-56A-640 - Odometer disclosure statement (1) When is an odometer disclosure statement required? An odometer disclosure statement is required on all transfers of ownership as required by RCW 46. Odometer disclosure forms are state-specific, and you can procure the form from your local DMV or equivalent office at no cost. (1) Every certificate of title issued by the department must contain the following statement on its reverse side: “Federal and state law require the completion of the odometer statement set out below. North Carlisle Odometer Disclosure Statement Form. Odometer brands on vehicle titles may show up when at some point the vehicle’s odometer reading is known or suspected to not be the vehicle’s true mileage, due to tampering. mvr-613. Registering by MailOdometer disclosure statement in NC - Download as a PDF or view online for free. Obtain an odometer disclosure statement and have the seller and buyer. File Details: PDF. NORTH CAROLINA To my knowledge, the vehicle described. Our PDF editor makes it simple to create forms. Transferor’s printed name. The 2023 Florida Statutes. Odometer disclosure record retention. The first section inclusive the drive information see. Titling & Registering a Vehicle MVR-1 Title Application. Attn: Titles and Registration Work Center. North Carolina Kilometer Information Statement Form. License Plate Hearing Request (SP 75)Connec S Fin˜nc Comp˜ny U Itifier CNS7 LEASED VEHICLE ODOMETER DISCLOSURE NOTICE AND STATEMENT P. MV-950 (1/19) P. In the State of North Carolina the following vehicle types are tax from odometer disclosure requirements: all vehicles model year 2010 or older, all vehicle with a registered weight over 16,000 pounds, non-motorized vehicles (trailer-type), low-speed transport (LSV), scooters, and mopeds. mileage and should not be relied on. Damage disclosure statement. Log in with your credentials or register a free account to try the service prior to choosing the subscription. A Damage Disclosure Statement (Form MVR-181). Create this form in 5 minutes! Use professional pre-built templates to fill in and sign documents online faster. Box 017 . Use Fill to complete blank online NORTH CAROLINA DEPARTMENT OF TRANSPORTATION (NC) pdf forms for free. An Odometer Disclosure Statement if the vehicle is model year 2011 or newer and is transferred within 2. Prepared and approved by. Odometer reading. I. Odometer Mileage Disclosure Statements . Because odometer disclosure is not required for vessels, the REG 262 or Bill of Sale (REG 135) form may be used when a bill of sale is needed. 6 (a) (2) through (8) are re-designated as § 580. 12/20) North Carolina Division of Motor Vehicles . Follow the instructions below to fill out Bill of Sale of Automobile and Odometer Statement for As-Is Sale - North Carolina online easily and quickly: Sign in to your account. 01. A new REG 262 for the odometer disclosure is required with a Statement of Facts (REG 256) form explaining why a separate odometer disclosure is attached. 47E, requires the seller of residential real estate (one to four dwelling units) to complete a form—known formally as the Residential Property and Owners' Association Disclosure Statement—disclosing conditions and defects with the property. The bill of sale also states that the automobile is sold as-is without any warranties, express or implied. With the new requirements, odometer disclosures will be required on all vehicles less than twenty years old at the time of ownership transfer. I, _____ (SELLER’S NAME, PRINT) state that the odometer now reads _____ miles (NO TENTHS) and to the best of my. Connec S Fin˜nc Comp˜ny U Itifier CNS7 LEASED VEHICLE ODOMETER DISCLOSURE NOTICE AND STATEMENT P. S. Make sure the data you fill in Odometer Disclosure Statement Nm is up-to-date and correct. 025 Disclosure Requirements 5. Yes, travel trailers, RV’s, Campers, and tent trailers all will have titles. A Damage Disclosure Statement (MVR-181) is required. 4,4. The date of sale. Odometer fraud is the disconnection, resetting or alteration of a vehicle’s odometer with the intent to change the number of miles indicated. Who first section includes aforementioned vehicle information details. When an odometer mileage disclosure statement is required, the information must be provided by the seller, not the buyer. 9. Sign it in a few clicks. Draw your signature, type it, upload its image, or use your mobile device as a signature pad. Failing to complete or providing a false statement may result in fines and/or . The following applies to registered owner transfers requiring odometer disclosure: If the Title Document Is. In the rest of this article, I will go over when an odometer disclosure. (1987) and Act 142 of 1949 as amended Ark. North Carolina: Yes, if vehicle is newer than 2011, under 16,000 pounds, and self-propelled. You can fill out this form on the phone, tablet, on the computer or by hand using a pen. Failure to complete this form or . CHECK ONE BOX ONLY: ODOMETER READING (no tenths) Odometer reading entered is THE ACTUAL MILEAGE OF THE VEHICLE Odometer reading entered is IN EXCESS OF ODOMETER'S MECHANICAL LIMITS . C. 05. Odometer disclosure statement in NC - Download as a PDF or view online for free. See full list on odometerdisclosurestatement. If you think you have been a victim of odometer fraud, contact Allen Stewart. Draw your signature, type it, upload its image, or use your mobile device as a signature pad. The Vehicle/Vessel Transfer and Reassignment (REG 262) form serves as a bill of sale, power of attorney, and odometer disclosure. Step 1: Choose the orange button "Get Form Here" on the webpage. (2) What odometer. 902. At first tonight if you have purchased a used car I'm sure you're hoping it didn't have any problem well we have a context of a consumer alert about cars that have had their odometers rolled back good evening I'm Anne Trujillo, and I'm Shannon Ogden there are nearly 28,000 cars just. Agency of Transportation; 120 State Street . Odometer disclosure record retention. The North Carolina Odometer Disclosure Statement Form MVR-180 is composed von quaternary sections. We use cookies to improve security, personalize the user experience, enhance our marketing activities. year make model body vehicle identification no. Bill of Sale. Report. In the State of North Carolina which following vehicle types are exempt from odometer disclosure requirements: all vehicles model year 2010 or older, all vehicles with a registered weight. Odometer Disclosure Statement (MVR-180) Title Application Form (MVR-1) Emission & Safety Inspection. Back Close. pdf (327. Continue. Download Fillable Form Mvr-180 In Pdf - The Latest Version Applicable For 2023. Our PDF editor enables you to work with any PDF file. What is a damage disclosure statement NC?. u201d It's the certificate that proves you own the car. The NC DMV requires a title to be notarized to complete a title transfer. Downloadable and printable forms. You will need to fill out the title in the presence of a notary public. Make sure the North Carolina Bill of Sale of Automobile and Odometer Statement is eligible for use in your state. All odometer mileage disclosure statements must be completed by theOdometer Disclosure Statement (MVR-180): Seller shall disclose the mileage to the buyer in writing on the application with signatures and hand printed name. Enter the odometer reading of the vehicle in the box to the right and check one of the following statements. The MVR 180 document is known as the North Carolina odometer disclosure statement. Wake North Carolina Bill of Sale of Automobile and Odometer Statement An expertly drafted sample is ready and waiting for export in the US Legal Forms collection. A separate Odometer Disclosure Statement is included with the bill of sale. Add to Favorites. All forms are printable and downloadable. A Damage Disclosure Statement (Form MVR-181). North Carolina Department of Administration. Lastly fill in the. The odometer reading on all other transfers with a certificate of title require the mileage to be certified, therefore, the mileage on the application must agree exactly with the mileage listed in the title assignment on. North Carolina Seller Disclosure. Official Odometer Disclosure Statement: disclosures are required in every single state and must be filed for the sale of a veh. TR-2. Below she become learn how to complete this form: Vehicle Section. Sellers cannot keep the plates or give them to the buyer. 03. Complete disclosure form below and return to lessor. An Odometer and Damage Disclosure Statement (pdf) (MV-103) is available at any motor vehicle office. Lastly fill in the last Plate. A North Carolina motor vehicle bill of sale form is an official legal record designed to provide evidence of the sale and transfer of a car within the state. Odometer Brands. This form serves an essential purpose in documenting the accurate mileage of a motor vehicle during the transfer of ownership. mvr-615. Though a bill of sale is not mandatory for private party. Complete and download many forms and manuals needed to complete transactions with the SCDMV. Obtain the odometer disclosure statement form, either from the Louisiana Office of Motor Vehicles website or from a licensed dealer. They shall MVR-180 (Rev. Export the record you need to your device or. a. upon transfer of ownership. Type text, add images, blackout confidential details, add comments, highlights and more. FM-30 Individual Permanent Assignment of. 2031 2012 & newer . A North Carolina Odometer Disclosure Statement Form MVR180 is a statement form used during a vehicle ownership transfer during a vehicle buy/sell. You may benefit this form to maintain a. Rule 006. BMV 3724 4/17 [17601081] OHIO DEPARTMENT OF PUBLIC SAFETY BUREAU OF MOTOR VEHICLES ODOMETER DISCLOSURE STATEMENT Federal law (and State law), if applicable) requires that you state the mileage upon transfer of ownership. You will need to fill out the title in the presence of a notary public. fleet of vehicles is, on average, older than ever, and NHTSA finalized this rule late last year to address an increase in odometer fraud involving. LEASED VEHICLE ODOMETER DISCLOSURE NOTICE AND STATEMENT P. CITY Lessee’s Signature: _____ Date of Statement: _____and odometer statement, if applicable; and 2. The mileage stated is in excess of odometer mechanical limits.