home *** CD-ROM | disk | FTP | other *** search
- #2070
- @001 Enter the name of the SELLER of the vehicle:
- @201 Enter SELLER's street address:
- @202 Enter SELLER's city, state- zip code:
- @002 Enter BUYER's name:
- @300 Enter BUYER's street address:
- @301 Enter BUYER's city, state- zip code:
- @100 Enter the number of miles/kilometers on odometer:
- @101/@101 Odometer reads:
- miles
- kilometers
- @102 Enter make of automobile:
- @103 Enter model of automobile:
- @104/@104/@104/@104 Enter body type:
- 2 door
- 4 door
- Station Wagon
- KEY IN VALUE
- @105 Enter year of make:
- @106 Enter vehicle identification number:
- #end control section
- #2070
- /* Para. 2070: Federal regulations- Odometer statement*/
-
-
- ODOMETER MILEAGE STATEMENT
-
-
-
- IMPORTANT: Federal regulations require this statement to be given
- to purchasers on sales of vehicles. An inaccurate or untrue
- statement may make you liable for damages to the buyer and there
- may also be civil or criminal penalties.
-
-
- @001, state that the odometer described below now reads @100 @101.
-
-
-
- Certify one of the following-- please "XXX" the appropriate line
- before the correct statement:
-
-
-
-
- ___________ I (we) certify that to the best of my (our) knowledge
- the odometer reading as stated above reflects the actual mileage
- of the vehicle described below.
-
-
-
- ___________ I (we) certify that to the best of my (our) knowledge
- the odometer reading as stated above reflects the amount of
- mileage in excess of designed mechanical limits of 99,999 @101 of
- the vehicle described below.
-
-
-
- ___________ I (we) certify that to the best of my (our) knowledge
- the odometer reading as stated above is NOT the actual mileage of
- the vehicle described below, and should not be relied upon.
-
-
-
- MAKE: @102
-
-
- MODEL @103
-
-
- BODY TYPE @104
-
-
- YEAR: @105
-
-
- VEHICLE IDENTIFICATION NUMBER: @106
-
-
-
- Certify one of the following-- please "XXX" the appropriate line
- before the correct statement:
-
-
-
- __________ I (we) certify that the odometer of the vehicle
- described above was not altered, set back, or disconnected while
- in my (our) possession, and I (we) have no knowledge of anyone
- else doing so.
-
-
-
- __________ I (we) certify that the odometer was alerted for repair
- or replacement purposes while in my (our) possession, and that the
- mileage registered on the repaired or replaced odometer is
- identical to that before such service.
-
-
-
- __________ I (we) certify that if the repaired or replacement
- odometer was incapable of registering the same mileage, that it
- was reset to zero, and that the mileage on the original odometer
-
-
- or the odometer before repair was __________________ @101.
-
-
-
-
- SELLER (Transferor) address:
-
-
- @201
-
- @202
-
-
- Date of statement: ___________________________
-
-
-
-
-
-
- ___________________________________________________
-
- @001
-
-
-
- BUYER (Transferee) name and address:
-
-
-
- @002
-
- @300
-
- @301
-
-
-
-
-
- Receipt of copy acknowledged:
-
-
-
-
-
-
- ____________________________________________
-
- @002
-