Motorcycle Odometer Statement
Seller Name:
Address:
City, State, ZIP:
Buyer Name:
Address:
City, State, ZIP:
Motorcycle Make:
Model:
Year:
VIN (Vehicle Identification Number):
Odometer Reading (No Tenths):
I certify that, to the best of my knowledge, the odometer reading reflects the actual mileage of the vehicle described above unless one of the following statements is checked:
The mileage stated is in excess of its mechanical limits.
The odometer reading is not the actual mileage. WARNING—ODOMETER DISCREPANCY.
Date of Statement:
Seller Signature:
Buyer Signature: