Odometer Disclosure Statement
VR-197 (06-17)
Federal and State law requires that you state the mileage in connection with the transfer
of ownership. Failure to complete or providing a false statement may result in fines and/or
I, (print seller’s name)
certify to the best of my knowledge that the odometer reading is the actual mileage of the vehicle
unless one of the following statements is checked:
miles (no tenths)
The mileage stated is in excess of its mechanical limits
The odometer reading is not the actual mileage. Warning - odometer discrepancy
Make: Model: Year:
Body Type: Vehicle Identification No.:
Seller’s Signature:
Seller’s Printed Name:
Seller’s Street Address:
City: State: Zip Code:
Date of Statement:
Buyer’s Signature:
Buyer’s Printed Name:
Buyer’s Street Address:
City: State: Zip Code:
White Copy - MVA Canary Copy - Seller Pink Copy - Buyer
For more information visit our website at www.mva.maryland.gov or call 410-768-7000.
TTY for the hearing impaired: 1-800-492-4575.
6601 Ritchie Highway, N.E., Glen Burnie, Maryland 21062