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This form may be used to make a correction to odometer information. The owner of the vehicle must state the reason the correction is needed and.This form may only be used to make a correction to odometer information incorrectly stated on the title or manufacturer's statement of origin. Download latest revision of notarized odometer statement • Modify, complete, and submit online • Huge list of legal documents and forms. 300 in connection with all transfers of ownership. Federal and state laws require that you state the mileage in a transfer of ownership. In accordance with federal and state law, the seller of a motor vehicle must disclose the current mileage to a purchaser in. 2. The purchaser must sign the disclosure statement, including printed name and address, and return a copy to the seller. 3. Warning – Odometer Discrepancy. Odometer Disclosure Statement.