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2070.BLD
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1993-01-06
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155 lines
#2070
@001 Enter the name of the SELLER of the vehicle:
@201 Enter SELLER's street address:
@202 Enter SELLER's city, state- zip code:
@002 Enter BUYER's name:
@300 Enter BUYER's street address:
@301 Enter BUYER's city, state- zip code:
@100 Enter the number of miles/kilometers on odometer:
@101/@101 Odometer reads:
miles
kilometers
@102 Enter make of automobile:
@103 Enter model of automobile:
@104/@104/@104/@104 Enter body type:
2 door
4 door
Station Wagon
KEY IN VALUE
@105 Enter year of make:
@106 Enter vehicle identification number:
#end control section
#2070
/* Para. 2070: Federal regulations- Odometer statement*/
ODOMETER MILEAGE STATEMENT
IMPORTANT: Federal regulations require this statement to be given
to purchasers on sales of vehicles. An inaccurate or untrue
statement may make you liable for damages to the buyer and there
may also be civil or criminal penalties.
@001, state that the odometer described below now reads @100 @101.
Certify one of the following-- please "XXX" the appropriate line
before the correct statement:
___________ I (we) certify that to the best of my (our) knowledge
the odometer reading as stated above reflects the actual mileage
of the vehicle described below.
___________ I (we) certify that to the best of my (our) knowledge
the odometer reading as stated above reflects the amount of
mileage in excess of designed mechanical limits of 99,999 @101 of
the vehicle described below.
___________ I (we) certify that to the best of my (our) knowledge
the odometer reading as stated above is NOT the actual mileage of
the vehicle described below, and should not be relied upon.
MAKE: @102
MODEL @103
BODY TYPE @104
YEAR: @105
VEHICLE IDENTIFICATION NUMBER: @106
Certify one of the following-- please "XXX" the appropriate line
before the correct statement:
__________ I (we) certify that the odometer of the vehicle
described above was not altered, set back, or disconnected while
in my (our) possession, and I (we) have no knowledge of anyone
else doing so.
__________ I (we) certify that the odometer was alerted for repair
or replacement purposes while in my (our) possession, and that the
mileage registered on the repaired or replaced odometer is
identical to that before such service.
__________ I (we) certify that if the repaired or replacement
odometer was incapable of registering the same mileage, that it
was reset to zero, and that the mileage on the original odometer
or the odometer before repair was __________________ @101.
SELLER (Transferor) address:
@201
@202
Date of statement: ___________________________
___________________________________________________
@001
BUYER (Transferee) name and address:
@002
@300
@301
Receipt of copy acknowledged:
____________________________________________
@002