[Iowa DOT] 411099. Odometer Certification and Statement of Fact

ODOMETER CERTIFICATION AND STATEMENT OF FACT

Any vehicle of model year 2011, or newer, shall require odometer disclosure until December 31, 2030. This statement is not required if the vehicle has a registered gross weight rating of more than 16,000 pounds.

I hereby certify that I have acquired the following described motor vehicle from the person named below. I have made an attempt in good faith to locate said person for the purpose of obtaining a certification of the true mileage traveled by the vehicle described below and I have been unable to locate the said person because of the following reason: (If additional space is needed use reverse side or add an additional page.

I therefore request that a certificate of title and/or registration be issued for the vehicle described below. I will warrant and defend the title of any person to the said vehicle insofar as the claim rests upon the title issued by virtue of this affidavit and will protect and hold harmless the county treasurer from any damages that might arise from the issuance of such title. I certify that the odometer mileage is as follows:

Subscribed and sworn to before me this

Additional Signatures Required

Print Document

Create Your Signature

Sign Now!

Please provide accurate information below to ensure the delivery of the signed copies of the document.