Ohio Department Of Public Safety Form Modify Form Here

Ohio Department Of Public Safety Form

The Ohio Department of Public Safety form is an essential document that ensures accurate reporting of a vehicle's mileage during ownership transfers. This form, specifically the Odometer Disclosure Statement, helps protect both buyers and sellers by requiring truthful disclosures about a vehicle's mileage. Failing to provide accurate information can lead to serious consequences, including fines or imprisonment.

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Table of Contents

The Ohio Department of Public Safety form, specifically the Odometer Disclosure Statement, plays a crucial role in the transfer of vehicle ownership. This form ensures compliance with both federal and state laws that mandate the disclosure of a vehicle's mileage at the time of sale. When completing the form, the seller must provide accurate information regarding the odometer reading, as any inaccuracies or false statements can lead to serious consequences, including fines or imprisonment. The form requires the transferor, or seller, to state the current mileage of the vehicle and to confirm, to the best of their knowledge, that this figure accurately reflects the actual mileage. Additionally, there are options for the seller to indicate if the odometer reading exceeds its mechanical limits or if it does not represent the true mileage. Essential details, such as the vehicle’s make, model, year, and Vehicle Identification Number (VIN), must also be included. Both the seller and the buyer must sign the document, acknowledging the transfer and the accuracy of the information provided. This simple yet vital form helps protect both parties and ensures transparency in vehicle transactions.

Form Sample

OHIO DEPARTMENT OF PUBLIC SAFETY

BUREAU OF MOTOR VEHICLES

ODOMETER DISCLOSURE STATEMENT

Federal law (and State law), if applicable) requires that you state the mileage upon transfer of ownership. Failure to complete or providing a false statement may result in fines and/or imprisonment.

I,

 

 

 

, state that the odometer (of the vehicle described below) now

 

 

PRINT TRANSFEROR’S NAME

reads

 

(no tenths) miles and to the best of my knowledge that it reflects the actual

mileage of the vehicle described below, unless one of the following statements is checked.

(1) I hereby certify that to the best of my knowledge the odometer reading reflects the amount of mileage in excess of its mechanical limits.

(2) I hereby certify that the odometer reading is NOT the actual mileage.

WARNING - ODOMETER DISCREPANCY.

MAKE

BODY TYPE

MODEL

 

 

 

 

VEHICLE ID NUMBER

 

 

YEAR

 

 

 

 

 

 

 

 

TRANSFEROR’S PRINTED NAME (SELLER)

 

 

 

 

 

 

 

TRANSFEROR’S STREET ADDRESS

 

 

 

 

 

 

 

CITY

STATE

ZIP CODE

 

 

 

 

DATE OF STATEMENT

TRANSFEROR’S SIGNATURE (SELLER)

 

 

X

 

 

 

 

 

 

PRINTED NAME OF TRANSFEROR

 

 

 

 

 

 

 

 

 

TRANSFEREE’S PRINTED NAME (BUYER)

 

 

 

 

 

 

 

TRANSFEREE’S STREET ADDRESS

 

 

 

 

 

 

 

CITY

STATE

ZIP CODE

 

 

 

 

 

RECEIPT OF COPY ACKNOWLEDGED

 

 

 

 

 

TRANSFEREE’S SIGNATURE (BUYER)

 

PRINTED NAME OF TRANSFEREE

X

 

 

 

 

 

 

 

www.bmv.ohio.gov

BMV 3724 7/09

Form Information

Fact Name Description
Purpose The Odometer Disclosure Statement is required when transferring ownership of a vehicle to ensure accurate mileage reporting.
Legal Requirement Both federal law and Ohio state law mandate that the mileage must be disclosed during the transfer of vehicle ownership.
Consequences of False Statements Providing false information on this form can lead to fines and/or imprisonment.
Odometer Reading The form requires the transferor to state the odometer reading in whole miles, without tenths.
Certification Options The transferor must certify if the odometer reading reflects actual mileage or if it is not accurate.
Odometer Discrepancy Warning A warning is included on the form to alert parties about the implications of odometer discrepancies.
Transferor Information The form requires detailed information about the seller, including name, address, and signature.
Transferee Information Similar to the transferor, the buyer’s name, address, and signature must also be included on the form.
Document Version This version of the form is labeled as BMV 3724 and was last updated in July 2009.
Website Reference Additional information can be found at the Ohio Bureau of Motor Vehicles website: www.bmv.ohio.gov.
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