INDIANAPOLIS — Agents from the Indiana Secretary of State’s auto dealer license and enforcement division have revoked the license for a Northeast Indiana auto dealer recently named in an odometer April 26 - Indiana Secretary of State revokes license of Shipshewana car dealer | Fwbusiness | fwbusiness. I state that the odometer now reads (No Tenths) and to the best of knowledge that is reflects the actual mileage of the vehicle unless one of the following statements is checked (only check a box if applicable): I certify that to the best of my knowledge the odometer reading reflects the amount of. Under the new odometer disclosure. Read their descriptions and preview them before downloading. 21(3), which form or forms shall contain an odometer disclosure statement in the form required by 49 C. 1-580. ☐ ST108E – Certificate of Gross Retail or Use Tax Exemption – State Form 48841 ☐ Collection of Payment Information - State. Below her can find the Indiana state-approved fillable PDF form for your use. Odometer Mileage Disclosure Statements . Find more details at. Mileage will have a major effect on the value of a vehicle—high mileage motor vehicles cost much less than similar vehicles with fewer miles. ODOMETER DISCLOSURE STATEMENT State Form 43230 (R3 / 5-13) INDIANA BUREAU OF MOTOR VEHICLES INSTRUCTIONS: 1. Application for Refund of Certain Fees be accepted at this time. 6 (a) (2) through (8) are re-designated as § 580. Section 4-4 . A Kentucky bill of sale is like a receipt, which documents the buyer's ownership when they apply for registration. HSMV 82993, in conjunction with Code of Federal Regulations, 49 C. § 32701, provides for $10,000 minimum damages, treble damages, and attorney fees for odometer tampering, mis-disclosure of information on vehicle title documents, certain. This can be listed and signed for on the title, or you may use the Bill of Sale and Odometer Disclosure Statement (Form VT-005). The consultation is free. when a motor vehicle, for which an odometer disclosure is required, has been sold. This form is State Form 43230 and should be turned in to the Bureau of Motor Vehicles. 32706(d. 03. All trailers and motor vehicles weighing over 16,000 pounds are exempt. Updated October 4, 2023. F. Updated May 30, 2023 In the State of Indiana when you transfer the corporate of your vehicle you have on complete the milometer disclosure statement on the back of the. F. Lower you sack find the Indiana state-approved fillable PDF form for your use. Lower you can find that Indianas state-approved fillable PDF form required your benefit. INSTRUCTIONS: 1. S. odometer disclosure statement missouri. 0. Once signed by both parties, as is required, the buyer must also obtain the Certificate of Title and then will be able to. Below you can how the Indiana state-approved fillable PDF form for owner use. Section 4-4 . Odometer Disclosure Statement - State Form 43230; Mechanic’s Lien Bill of Sale - State Form 23104; ODOMETER DISCLOSURE STATEMENT State Form 43230 (R / 2-97) ODOMETER DISCLOSURE STATEMENT State Form 43230 (R / 2-97) STATE OF INDIANA BUREAU OF MOTOR VEHICLES We, the undersigned, swear of affirm that the information entered on this form is correct. , Rm. Finds more details bottom. 6 (a) (2) through (8) are re-designated as § 580. This change will improve customer protection by tracking actual odometer mileage for. 225 Transfer and reassignment forms; odometer disclosure statements. The purchaser must sign the disclosure statement, including printed name and address, and return a copy to the seller. ☐ Affidavit of Restoration for a. S. If she required or want to use the separate state-approved fillable Indiany Odometer Disclosure Statements Form 43230, this form is composed of four sections. , Rm. The provisions of this disclosure statement section shall not apply to the following transfers: (1) A vehicle having a gross vehicle weight rating of more than 16,000 pounds; (2) A vehicle that is not self-propelled; (3) A vehicle that is 10 years old or older; or (4) A new vehicle prior to its first transfer for purposes other than resale. In certain cases you may also use one state-approved form to complete the odometer disclosure statement. 020 Disclosure Features All states are required to provide an odometer disclosure section/space on complying titles or complying forms. Trailers and vehicles over 16,000 pounds are exempt. In certain cases you may also use the state-approved form to complete the odometer disclosure statement. Indiana Odometer Share Declaration Form. The odometer statement must be completed by the lienholder applying for. Must be completed by the County Treasurer. PDF. Vehicles more than 10 years old and over 16,000. Complete Odometer Disclosure Statement Indiana online with US Legal Forms. In accordance with federal and state law, the seller of a motor vehicle must disclose the current mileage to a purchaser in writing upon transfer of ownership. Holcomb. The Indiana Bureau of Motor Vehicles (BMV) may consider your car to be a salvage if it’s severely damaged in an accident. The following types starting vehicles are exempt from counting disclosure requirements inches the State of Indiana: vehicles select year 2010 or older, vehicles about 16,000 crushes, low-speed vehicles (LSV), non-motorized vehicles (trailer-type), and scooters button bike. Disclosure Statement – State Form 43230must be submitted. ), unless specifically exempted. Below you can find the Indiana state-approved fillable PDF form fork your use. (NOTE: Do not write in tenths of miles. 2. Odometer Disclosure Statement Massachusetts Withholding. ODOMETER DISCLOSURE STATEMENT. If you. In accordance with federal and state law, the seller of a motor vehicle must disclose the current mileage to a purchaser in writing upon transfer of ownership. Find see details below. C. Federal law and State law requires that you state the mileage upon transfer of ownership. “So I called them and I'm like 'Hey my name is Alicia Akins. In certain cases thou may also use the state-approved bilden to finish the odometer disclosure statement. S. 580. Federal law and section 233a of the Michigan Vehicle Code require that you state the . (d) The department shall provide for use consistent with 49 C. A Damage Disclosure Statement (Form MVR-181). Step 7. Failure to complete or providing a false statement may result in fines and/or imprisonment. ) The Date of Sale is incorrect. xml ¢ ( ´•ÛjÃ0 †ï {‡àÛ‘¸ÝÅ £i/v¸Ü ë Àµ•Ö,± žÞ~Ê¡a”¶)ër H$ýÿ' ”Ñd[äÑ |ÐÖ¤l˜ X FZ¥Í"e_³·ø‘E. INDIANAPOLIS — Governor Eric Holcomb signed legislation Monday that will require the Indiana Bureau of Motor Vehicles (BMV) to disclose how they’re spending money generated from selling your personal information. (a) Requires the transferor of a motor vehicle transferred, rather than the seller of a motor vehicle sold, in this state, except as provided by Subsection (c), to provide to the transferee, rather than buyer, a disclosure of the vehicle's odometer reading at the time of the transfer in compliance with 49 U. F. 1. The provisions of this disclosure statement section shall not apply to the following transfers: (1) A vehicle having a gross vehicle weight rating of more than 16,000 pounds. (NOTE: Do not write in tenths of miles. Indiana Emissions and. 6 (b) through (h). Section 4-4 . It must also show the year, make and model of the vehicle, the buyer’s name and address, and the signatures of both the buyer and seller. The odometer disclosure may also be on a separate odometer disclosure statement. , Sections 580. The Odometer Reading or Brand is incorrect. All trailers and motor vehicles weighing over 16,000 pounds are exempt. In the State regarding Indiana you may want or want to complete the Indiana Yield Disclosure Statement Form – Form 43230 (R3 / 5-13). INDIANAPOLIS — Indiana Attorney General Todd Rokita has filed a civil complaint against a LaGrange County car dealer alleging that the dealer rolled back odometers on vehicles. ODOMETER DISCLOSURE STATEMENT State Form 43230 (R3 / 5-13) INDIANA BUREAU OF MOTOR VEHICLES INSTRUCTIONS: 1. An odometer disclosure statement is necessary because mileage is a key factor in determining a vehicle's condition. If you need or want for utilize the separate state-approved fillable Hindi Hodometer Disclosure Statement Form 43230, this form the composed of four sections. The disclosure must be signed by the seller, including the printed name. ☐ Odometer Disclosure Statement – State Form 43230, if the odometer statement is not completed on the certificate of title or certificate of origin. 014 Springfield, IL 62756 Secretary of State This space. Each auction company visually inspected each vehicle’s odometer reading and reported them in disclosure statements provided to Flexible Auto Sales. Mileage will be branded as “Not Actual” unless a completed and signed odometer statement from the owner of record is provided. Though a bill of sale is not mandatory for private party. Bill of sale. 3. This government document is issued by Motor Vehicles for use in North Carolina. Illinois: Form VSD 333 - Odometer Disclosure Statement for Title Transfers Indiana:. Federal odometer law violators can be subject to civil liability if a jury determines fraudulent intent. Sign it in a few clicks. Indiana Odometer Publication Statement Fill. 319. The provisions of this disclosure statement section shall not apply to the following transfers: (1) A vehicle having a gross vehicle weight rating of more than 16,000 pounds. Step 5. ☐ Odometer statement completed on the ownership document or on an Odometer Disclosure Statement – State Form 43230. ODOMETER MILEAGE STATEMENT. In most cases, you will only need the following documents to sell your car in Indiana: Vehicle certificate of title. Indiana Farmers MUTUAL INSURANCE COMPANY ODOMETER DISCLOSURE STATEMENT Claim No. A free odometer disclosure statement form for Indiana and other states, required by federal law to be filed with a vehicle bill of sale. Indiana Odometer Disclosure Statement Contact. Indiana Odometer Disclosure Statement Form. Indian Odometer Disclosure Command Form. 1. All trailers and motor vehicles over 16 000 lb. Trailers, vehicles over 16,000 pounds, and watercraft are exempt from federal odometer disclosure statement requirements and therefore this form is not required for those vehicle types. are exempt. Give the document to the dealer and get a copy for your records. Odometer Disclosure Statement – State Form 43230. The Motor Vehicle Information and Cost Savings Act (sometimes known as the federal odometer act and described here as the “Act”), 49 U. Indiana Odometer Disclosure Statement Mold. A law enforcement officer or licensed agent must complete this. The process is fast and easy. Proof of Indiana Residency. Declaration of Vehicle Purchase Price (Form 722-1). Indiana Farmers MUTUAL INSURANCE COMPANY ODOMETER DISCLOSURE STATEMENT Claim No. Share your form with others. The disclosure must be signed by the seller,. S. The odometer disclosure must contain a physical signature, hand-written in ink. Under the old rule, a 2011 vehicle would have become exempt from disclosure in 2021. Mileage will be branded as “Not Actual” unless a completed and signed odometer statement from the owner of. INDIANA BUREAU OF MOTOR. S. 2031 2012 & newer . If you what or what to use the separate state-approved fillable Hindi Odometer Disclosure Statement Form 43230, this form is composed away four sections. Second St. You should use your charge card or PayPal profile to complete the financial transaction. Get the Odometer disclosure statement indiana completed. Indiana odometer disclosure statement. 4-4. However, when you are talking about a vehicle that was manufactured from 2011 onwards, the requirement for exemption is 20 years. The form also contains the Odometer Disclosure Statement required by Federal Law and State Law, where applicable. Please employ available black or black ink to. The disclosure must be signed by the seller, including the. For more information: Title Transfers or obtaining a New Certificate of Title in Indiana. 16 - Odometer Requirements Violations - Resetting or altering odometer with intent to change mileage. In Indiana, the new owner will have 45 days to transfer the car into their name. 192. Federal law (and State law, if applicable) requires that you state the mileage upon transfer of ownership. An Odometer Disclosure Statement (MVR-180), signed by you and the buyer, if the vehicle is less than 10 years old. Mileage will be branded “Not Actual. Below you can finds one Indiana state-approved fillable PDF form for your use. For this reason, odometer disclosure statements have been. § 580. This affidavit is submitted to request the State of Indiana, Bureau of Motor Vehicles to issue an Indiana. Below. Indiana Odometer Statement If finding legal forms online looks like a challenge, try using US Legal Forms. The Odometer Disclosure Requirements (49 CFR Part 580) provide that th transferor of a vehicle may make the disclosure required by the Federal odmeter (sic) laws on the state certificate of title, if the state title document contains essentially the same information required on the Federal odometer disclosure statement. these exemptions are: - motor vehicles with a model year of 2011 or newer are. If the vehicle is 10 years old or older, however, the seller can simply note that no disclosure is required or write “exempt” in the space for where the odometer disclosure is made. If your vehicle is equipped with an odometer capable of reading 999,999 miles, you need only write in the odometer disclosure "the actual mileage shown" on the odometer. Call 360. Method the financial transaction. One proof of address. A new REG 262 for the odometer disclosure is required with a Statement of Facts (REG 256) form explaining why a separate odometer disclosure is attached. If the odometer information isn't filled out on the title, provide an Odometer Disclosure Statement (Form 43230). Odometer Disclosure Statement – State Form 43230 One side view picture of the entire vehicle. The federal odometer law states that all vehicles weighing less than 16,000 pounds and under 10 years old require an odometer disclosure statement to be certified at the time of purchase. BMV 3724 — Odometer Disclosure Statement. What forms must I fill out for a duplicate car title? In order to obtain an Indiana car title replacement, one must fill out an Application for Certificate of Title 44049 form. Edit your illinois odometer disclosure statement online. )* This agency is requesting disclosure of your Social Security Number in accordance with IC 4-1-8; disclosure is mandatory and this record cannot be. Therefore, the signNow web application is a must-have for completing and signing mi dmv odometer statement on the go. State Form 43230 (R3 / 5-13). 6 (a) and, also for clarity, § 580. 11/09) DHT # 142235. Indiana Odometer Disclosure Statements Form Below you can find the state-approved fillable PDF form to your use. Bill of Sale (Form 44237). with an incomplete odometer mileage disclosure statement. National Highway Traffic Safety Administration (NHTSA) Tenn. Request use only blue or black ink the complete it. Aforementioned following types from vehicles are released from odometer disclosure product in the State of Indiana: drive model year 2010 or older, vehicles over 16,000 lbs, low-speed vehicles (LSV), non. BMV 4625 — Odometer Disclosure Statement: This is the standard form used in most vehicle sales. 6 (b) through (h). 7. Cars that are more than 10 years old are exempt. ). Find reusable templates specific to your state in the most comprehensive online forms catalog, with 24/7 access to your purchased samples. New-to-state Indiana residents will have to get a vehicle inspection and take extra steps if there is a lien hold on the vehicle title. The federal and state statutes require the seller to disclose of current odometer mileage for any vehicle model year 2011 or. 03. Edit Odometer disclosure statement indiana. Motor Vehicles › Article 17. Get Form Now Download PDF. You can fill out this form on the phone, tablet, on the computer or by hand using a pen. odometer now reads (no tenths) miles and: Federal law (and State law, if applicable) requires that the lessee disclose the mileage to the lessor in connection with the transfer of ownership. This is the odometer disclosure statement for commercial vehicles applying for title or registration in Indiana under COVID-19 relief. 32706(d. In certain cases you may or use an state-approved form to finished the odometer disclosure statements. The odometer disclosure must contain a physical signature, hand-written in ink. Odometer disclosure statements must show the odometer at the time and date of transfer. Be sure to file these three forms in every used car deal folder to maintain vehicle disclosure compliance. Evansville Indiana Bill of Sale of Automobile and Odometer Statement Browse the greatest online catalogue of legally binding forms for personal and business needs to get the one you're trying to find. North Carolina Odometer Disclosure Statement Mail Mvr180. D. The registered owner of record discloses the odometer mileage and the buyer(s) acknowledges it. Odometer Mileage Disclosure Statements . If you take an interest in Modify and create a Odometer Disclosure Statement Indiana, here are the step-by-step guide you need to follow: Hit the "Get Form" Button on this page. The federal or state law require the dealer to disclose that current odometer mileage for any vehicle model year 2011 press newer,. Draw your signature, type it, upload its image, or use your mobile device as a signature pad. The bill of sale also states that the automobile is sold as-is without any warranties, express or implied. Important: If the Bill of Sale (Section 2) and/or Power of Attorney (Section 5) information was completed, retain the REG 262 with the application even when the Odometer Disclosure Statement. INSTRUCTIONS: 1. on 6-23-12, I purchased car from dealer" odometer disclosure statement" and other purchase docs state millage 71,542. Please utilize only blue. . 14 Power of attorney to review. The followers types of vehicles are exclude from odometer disclosure requirements in the State of Indiana: vehicles prototype yearly 2010 or older, transport over 16,000 pounds, low-speed vehicles (LSV),. We use cookies to improve security, personalize the user experience, enhance our marketing activities (including. Free preview Vehicle Bill. Include an Odometer Disclosure Statement, if applicable PURCHASER INFORMATION Purchaser’s Name (last,. May be completed by the court appointed owner. When an odometer mileage disclosure statement is required, the information must be provided by the seller, not the buyer. 2. However, vehicles ten years and older are exempt from this requirement. This government document is issued by Department of Revenue for use in Missouri. Failure to complete an odometer disclosure statement or providing false information may result in fines and/or imprisonment. Ohio BMV – Records Request Form. Choose from 85,000 state-specific document templates available for download in Word and PDF. The bill of sale also states that the automobile is sold as-is without any warranties, express or implied. When a motor vehicle is sold or transferred, the odometer reading must be recorded in the assignment section of the title by the seller. § 580. Examples include an Indiana driver s license or identification card or utility bill dated within the last sixty 60 days. All trailers and motor vehicles over 16 000 lb. Proof of Indiana Residency. Odometer fraud is the disconnection, resetting or alteration of a vehicle’s odometer with the intent to change the number of miles indicated. * BDVR-108 (10/22)The odometer disclosure statement or a completed odometer statement with the choose title; ONE physical inspection of a vehicle or watercraft (if required) Detect of address; Proof of social security number or ampere federal recognition number (FIN) Payment for all applicable vehicle title transfer fees and sales tax fee of 7%An odometer disclosure statement is simply a declaration of a vehicle's mileage as indicated by its odometer, and if whether or not it's an accurate reading. 124 and Title 49 of the Code of Federal Regulations (C. Supposing your need or want to usage an separate state-approved fillable Indiana Odometer Disclosure Statement Download 43230, this submission is composed of four sections. ☐ Proof of an approved Report of Bus Inspection completed by the Indiana State Police ☐ $16. 2 above, as follows: a) Manufacturer’s Certificate/Statement of. S. An odometer brand is what briefly explains the circumstances that can support whatever the owner of the car placed on the odometer disclosure statement. In an Indiana resident, my your is requires to undergo an emissions test before you can register your vehicle. Accessibility Settings. Beginning January 1, 2021, vehicles of model year 2011 and newer will be subject to odometer disclosure for twenty (20) years, rather than the previous ten-year (10-year) requirement. PDF TC 96-358 Applicant Communication Request Word. An odometer disclosure instruction or an completed odometer statements on the vehicle title; A tangible inspection of adenine car or personal (if required). Under the new rule, the odometer reading must be disclosed at the sale of a 2011 vehicle until 2031, 2012 vehicles will become exempt in 2032 and so on. ) (Example: If your odometer reads 118, 666. ). Authorization for Automatic Withdrawals. writing upon transfer of ownership. Odometer Statement. Illinois state-approved fillable PDF form for your use. Types of Indiana Odometer Statements: 1. Failure to complete or providing a false statement may result in fines and/or imprisonment. Type text, add images, blackout confidential details, add comments, highlights and more. We'll mail it to you within 2 business days. ODOMETER DISCLOSURE STATEMENT. ODOMETER DISCLOSURE. 11 Requirements and conditions for using conforming power of attor-ney forms to complete odometer disclosure statements. Share your form with others. 12. 6 miles, you would disclose 118,666 miles on the title. Indiana Bureau of Motor Vehicles Central Office Title Processing . box 327640 • montgomery, al 36132-7640 odometer Disclosure Statement MVT 5-5 8/19 Note: The provisions of this disclosure statement shall not apply to a vehicle that is Exempt from mileage disclosure - this includes:Motor Vehicles. It still requires a notary signature to ensure the accuracy of the disclosed information. Each template is prepared by. Odometer Disclosure Statement State Form 43230. ☐ Odometer Disclosure Statement – State Form 43230. Indiana Odometer Statement with Notary: A Comprehensive Overview An Indiana odometer statement with notary is a legal document used during the process of selling or transferring ownership of a motor vehicle in the state of Indiana. gov. Odometer Disclosure Statement - State Form 43230; Mechanic’s Lien Bill of Sale - State Form 23104; Trailer Ownership Affidavit - State Form 43753; Dealer Service Forms . Use our simple categories functionality to find and obtain legal and tax files. Odometer Disclosure Statement – State Form 43230 or other conforming odometer statement . ☐ Odometer Disclosure Statement – State Form 43230. Trailers and vehicles over 16,000 pounds are exempt. Edit Bill of Sale of Automobile and Odometer Statement for As-Is Sale - Indiana. Take this form with you to the dealership. It requires the seller's signature, buyer's signature, vehicle description, and odometer reading. (A separate conforming odometer statement is required to be attached to this form. ☐ Odometer Disclosure Statement – State Form 43230 (if odometer statement is not completed on the certificate of title or certificate or origin). If you need or. In the State of Indiana wenn her transfer the ownership for your vehicles you have to complete the odometer disclosure statement to the back of the vehicle’s Certificate of title in the Task of titles section. Indiana Odometer Disclosure Statement Form. Indiana Odometer Disclosure Statement Form. Below you can find the state-approved fillable PDF form for your use. (1) When is an odometer disclosure statement required? An odometer disclosure statement is required on all transfers of ownership as required by RCW 46. State of alabama Department of revenue motor vehicle DiviSion p. Wait in a petient way for the upload of your Odometer Disclosure Statement Indiana. Indiana Odometer Disclosure Statement (Form 44049): This form is specifically designed for vehicles that are exempt from odometer reporting requirements, such as certain antique vehicles or vehicles with a gross weight rating of more than 16,000 pounds. Failure to complete or providing a false statement may result in fines and/or imprisonment. (2) A vehicle that is not self-propelled. Below it can find the Indiana state-approved fillable PDF form for your used. Proof of VIN verification. ☐ Collection of Payment Information- State Form 56163. ☐ If vehicle is transferring ownership, the odometer statement must be completed on certificate of salvage title or a completedOdometer. Odometer Disclosure Statement The Bureau of Motor Vehicles' form for disclosing the number of miles on a car you intend to sell in Indiana. An odometer disclosure statement is a required attachment till a medium bill of sale at to time of purchase for any vehicle lower 16,000 pounds and under 10 years off age. In addition, this part prescribes the rules requiring the retention of odometer disclosure statements by motor vehicle dealers, distributors and lessors and the retention of certain other information by auction companies as directed by sections 408(g) and 414 of the Motor Vehicle Information and Cost Savings Act as amended, 49 U. part 580. FAX copies will NOT be accepted. Helps prove if the mileage is. COMPLETING THE ODOMETER DISCLOSURE STATEMENT. The odometer disclosure statement is a federal law that applies to every state. The vehicle’s salvage title. Indiana Odometer Disclosure Statement Submission. All mileage information should be recorded in an official Odometer Disclosure Statement (Form TC 96-5). ☐ One proof of address. Certificates of Title › Chapter 2. ALTERATIONS OR ERASURES VOID THIS FORM . Required for vehicles purchased outside of Indiana. Below it can find the Indiana state-approved fillable PDF form for your used. Second St. Odometer Disclosure Statement . NHTSA estimates that more than 450,000 vehicles are sold each year with false odometer readings. driver's license, current utility bill, etc. Vehicle Identification Number and Odometer Reading - Form 82042. Please use only blue or black ink to complete he. Additionally, it serves as evidence of the lien release, allowing the title to be transferred to the new owner devoid of any encumbrances. S. Once you have all of these documents, you may apply for an Indiana title at a branch. ☐ Collection of Payment Information- State Form 56163. Florida Form 82993, titled "Separate Odometer Disclosure Statement and Acknowledgment," is a legal document used in the state of Florida to disclose the odometer reading of a motor vehicle during a title transfer or sale. Requested apply only dark or black solid to complete it. There are four exceptions to the requirement listed in Section 3-1. Find more details back. 2. Second St. Vehicle Information . If your vehicle is equipped with an odometer capable of reading 999,999 miles, you need only write in the odometer disclosure "the actual mileage shown" on the odometer. of title or certificate or origin). Bottom you can find the Indians state-approved fillable PDF form for your use. ODOMETER DISCLOSURE STATEMENT - State Contact 43230 (R/2-97) Particulate Certification/Vehicle Inspection. ☐ ST108E – Certificate of Gross Retail or Use Tax Exemption – State Form 48841 ☐ Collection of Payment Information - State. It be a good advice for the trader on keep the copy away the mapped top (front and back) the of the odometer disclosure form for five years. when an odometer disclosure statement and acknowledgment between the. ODOMETER DISCLOSURE STATEMENT VTR-40 Rev. Indiana Odometer Disclosure Statement Form. State Form 43230 (R3 / 5-13) INDIANA BUREAU OF MOTOR VEHICLES. The company and its owner are accused of violating Indiana’s Deceptive Consumer Sales Act, Indiana’s Odometer Act, the Federal Odometer Act, and the Indiana’s Motor Vehicle Unfair Practices Act. Then, make sure you understand the purpose of an odometer disclosure statement. Odometer Disclosure Statement – State Form 43230 or other conforming odometer statement . An Odometer Disclosure Statement is a legally binding document that provides an accurate mileage on the odometer at the time the car changes hands from the seller to. If you needing or need toward use the discrete state-approved fillable Indiana Odometer Disclosure Statement Form 43230, this form is composed on four sections. Mail form s to MS21 Attention Alzheimer s / Dementia Special Care Disclosure Division of Disability Aging and Rehabilitative Services 402 West Washington Street Room W-454. General Affidavit (Form 37964) for parts you didn’t have to buy to repair/rebuild your car. Supposing you need oder want to use the separate state-approved fillable Indiana Odometer Disclosure Instruction Form 43230, this form is composed of choose sections. If. If the proof of ownership is from NYS, submit a Damage DisclosureA common example of this is where the odometer of a used car has been reset from the true mileage. Indiana Odometer Disclosure Statement Form. Both the transferor and the transferee shall retain aor sell a used one, a required odometer disclosure statement must state whether or not the vehicle’s odometer reading is accurate.