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Secure Odometer Disclosure/Reassignment - DMV

Form # 735-403A(01-23)

  • 1 page form
  • Size: 8 1/2" x 11"
  • Sold in Packs of 100
  • Packaged for automotive dealerships; these packs are not for personal car sale reporting

State and Federal law requires an odometer disclosure when ownership is transferred for vehicles 16,000 pounds GVWR or less and model years 2011 or newer, until that vehicle is 20 years old or older. An odometer disclosure must be completed using the back of the title, if available. This form may also be used when the title is unavailable or assignment spaces on the back of the title are filled. Failure to complete an odometer disclosure or providing a false statement may result in fines and/or imprisonment. Under Oregon law, the offense of submitting a false odometer disclosure is a Class C felony (ORS 815.430). 

*If you are looking for an Oregon Secure Odometer Disclosure form for a personal car sale, please visit this link and request a single form from the Oregon DMV -