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The odometer reading has been declared by the vehicle s seller and acknowledged by the vehicle s purchaser. NOTE: If a COURT-ORDERED SALE, attach the court order and provide the case number under the Seller/Transferor Name Below. On , I/we, Month, Day & Year of Sale/Transfer Seller/(s) /Transferor(s) Full Legal Name(s) Seller/(s) /Transferor(s) Street Address, City, State & Zip Court Ord.

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