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    mhendricks1012
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    This document is an odometer disclosure statement from the Kansas Department of Revenue Division of Vehicles. The statement requires the seller to disclose the vehicle's odometer reading and certify it as either the actual mileage, in excess of mechanical limits, or not the actual mileage. It also requires signatures from both the seller and buyer with their printed names and addresses.

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    This document is an odometer disclosure statement from the Kansas Department of Revenue Division of Vehicles. The statement requires the seller to disclose the vehicle's odometer reading and certify it as either the actual mileage, in excess of mechanical limits, or not the actual mileage. It also requires signatures from both the seller and buyer with their printed names and addresses.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    29 views1 page

    Odometer Reading

    Uploaded by

    mhendricks1012
    This document is an odometer disclosure statement from the Kansas Department of Revenue Division of Vehicles. The statement requires the seller to disclose the vehicle's odometer reading and certify it as either the actual mileage, in excess of mechanical limits, or not the actual mileage. It also requires signatures from both the seller and buyer with their printed names and addresses.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    KANSAS

    Department of Revenue Division of Vehicles Topeka, Kansas 66626-0001 www.ksrevenue.org/dmv

    ODOMETER DISCLOSURE STATEMENT Title Number Title issued by state of

    Original odometer disclosure statement for vehicle on title listed above. Correction to odometer disclosure statement for vehicle listed below. Odometer statement for transfer of vehicle without title (legal affidavit/court document). Federal/State Law requires that you state the mileage upon transfer of ownership. Failure to complete or providing a false statement may result in fines and/or imprisonment. I, (transferors name please print) certify that the odometer now reads To the best of my knowledge, the mileage is: ONLY ONE BOX MUST BE CHECKED (1) Actual mileage (2) In excess of its mechanical limits (3) NOT the actual (no tenths) miles.

    WARNING . . . ODOMETER DISCREPANCY *** Transferor Seller; Transferee Buyer *** Year Make Model Body Style

    Vehicle Identification Number Date of Statement Transferors Signature (seller)

    Transferors Name (Hand Printed) Street City State Zip Code

    Transferees Signature (buyer) Transferees Name (Hand Printed) Street Address City State Zip Code

    Original-Attach to Title Copy- Sellers Copy Copy- Buyers Copy TR-59 www(603)

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