RV Odometer Disclosure Statement

Vehicle Information
Make
Model
Year
VIN
Body Type
Current Odometer Reading
miles (no tenths)
Disclosure
I hereby 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's Signature
Name (print)
Address
Buyer’s Signature
Name (print)
Address