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No. City or Town State New Owner s Signature Zip Code Date of Statement New Owner s Name Print Name in Full MV-103 5/11 Skip the Trip Do Your DMV Business On-Line At www. New York State Department of Motor Vehicles ODOMETER AND DAMAGE DISCLOSURE STATEMENT FEDERAL AND STATE LAWS REQUIRE THAT YOU PROVIDE THE MILEAGE AND CONDITION OF THE VEHICLE DESCRIBED BELOW WHEN TRANSFERRING OWNERSHIP OF IT TO SOMEONE ELSE* IF YOU DO NOT GIVE THE MILEAGE AND CONDITION INFORMATION TO THE NEW OWNER OR IF YOU...
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How to fill out nys odometer statement form

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How to fill out nys odometer statement:

01
Obtain the odometer statement form from the New York State Department of Motor Vehicles (DMV) website or your local DMV office.
02
Fill in the required fields, including your name, address, and contact information.
03
Provide the vehicle information, such as make, model, year, and vehicle identification number (VIN).
04
Record the current mileage displayed on the vehicle's odometer at the time of the transaction.
05
Indicate the date of the transaction and whether it involves a sale, purchase, lease, or transfer.
06
Sign and date the odometer statement form.
07
Submit the completed form to the appropriate party, such as the buyer, seller, or leasing company.

Who needs nys odometer statement:

01
Individuals who are buying or selling a motor vehicle in the state of New York may need to complete an odometer statement.
02
Leasing companies that are involved in vehicle lease transactions may also require an odometer statement.
03
The New York State DMV may request an odometer statement for certain registration or title transfer purposes.

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The NYS odometer statement refers to a form commonly used in the state of New York to verify the accuracy of a vehicle's odometer reading at the time of sale or transfer. This statement is required by law and is used to prevent odometer fraud and protect consumers from purchasing vehicles with tampered mileage readings. The NYS odometer statement typically requires the seller to provide information about the vehicle's accurate mileage, any known discrepancies, and other relevant details. This statement must be completed and signed by both the buyer and the seller as part of the vehicle sales transaction.
In New York State, a seller of a motor vehicle is required to file an odometer statement. This statement must be completed by the seller and provided to the buyer of the vehicle.
To fill out the NYS (New York State) Odometer Statement, follow the steps provided below: 1. Obtain the NYS Odometer Statement form: You can either download the form from the New York State Department of Motor Vehicles (DMV) website or obtain a physical copy from your local DMV office. 2. Provide the required information: a. Seller's Information: Enter your full legal name, address, city, state, zip code, and your driver's license number. b. Buyer's Information: Input the buyer's full legal name, address, city, state, and zip code. c. Vehicle Information: Provide details about the vehicle including the Year, Make, Model, Vehicle Identification Number (VIN), and the odometer reading at the time of sale. 3. Seller's Statement: a. Check the appropriate box to confirm whether the odometer reading reflects the actual mileage, is not actual (due to odometer breakage/malfunction), or accurately measures the difference in actual mileage if the odometer is not accurate, etc. b. Sign and date the seller's statement. 4. Buyer's Statement: a. The buyer must also sign and date the buyer's statement, affirming the accuracy of the mileage stated. 5. Notary Public Confirmation (if applicable): a. If the vehicle is being sold for more than its book value and is less than ten years old, you may need to have your signature notarized. b. In such cases, bring the completed form to a notary public, sign it in their presence, and have them notarize it by signing, dating, and affixing their official notary stamp. Remember to retain a copy of the completed form for your records.
When reporting the odometer reading on the New York State (NYS) odometer statement, the following information must be included: 1. Buyer and Seller Information: Full legal name and address of both the buyer and seller. 2. Vehicle Identification Number (VIN): The 17-digit VIN of the vehicle being sold. 3. Vehicle Description: Description of the vehicle, including make, model, year of manufacture, body type, and color. 4. Odometer Reading: Accurate mileage reading of the vehicle at the time of sale. 5. Odometer Status: Indication of the actual mileage of the vehicle (actual, not actual, exceeds mechanical limit, or unknown). 6. Date of Sale: The date when the vehicle is being sold. 7. Certification of Accuracy: The seller must certify that the mileage stated is the actual mileage of the vehicle unless the vehicle is 10 years or older. 8. Signature: Both the buyer and seller must sign the statement. It's essential to provide genuine and accurate information on the NYS odometer statement to comply with legal requirements and avoid any potential legal consequences.
The penalty for the late filing of a New York State (NYS) odometer statement varies depending on the specific circumstances and whether it was intentionally or negligently filed late. Generally, if the late filing was unintentional, there may be no penalty if it is filed within 45 days of the transfer of ownership or completion of lease termination. If the late filing was intentional or due to negligence, the penalty can range from $100 to $2,500, depending on the value of the vehicle. Also, the late filing may result in the suspension or revocation of the dealer's license or registration. It is important to note that the specific penalties and consequences may vary, so it is advisable to consult the official NYS Department of Motor Vehicles (DMV) website or contact them directly to get accurate and up-to-date information regarding the penalties for late filing of an odometer statement.
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