Heavy Equipment Odometer Statement

Equipment Information

Make Model Year VIN / Serial Number

Odometer/Hobbs Meter Statement

Current Reading Unit (miles/hours/kms) To the best of my knowledge, the odometer/hobbs meter reading reflects the actual mileage/hours of the equipment described above unless checked below (check if applicable): The odometer/hobbs meter reading is not the actual mileage/hours. WARNING – ODOMETER/HOBBS METER DISCREPANCY.

Certification

Seller Name Seller Address Buyer Name Buyer Address