Odometer disclaimer/ Mileage correction

Phone Number: *

Address: *

Date and time

Digital Signature *

Note to seller

Email: *

Odometer Mileage *

Name: *

Vehicle Information *

Upload File:

I Agree *

I hereby certify that to the best of my knowledge the odometer reading as stated above reflects the actual mileage of the vehicle described. A REPLACEMENT CLUSTER IS TO BE INSTALLED COPYING THE ORIGINAL DATA IS REQUIRED. I/WE ACCEPT THE ABOVE TERMS AND CONDITIONS. I/WE ARE FULLY AWARE OF THE LEGAL IMPLICATIONS IMPOSED. I FULLY AGREE THAT DIGITAL DASH SOLUTIONS LLC SHALL BE HELD HARMLESS FROM ANY AND ALL CLAIMS, ACTIONS, CAUSE OF ACTIONS, DEMANDS, RIGHTS, DAMAGES, AND ATTORNEY FEES RELATING TO OR ARISING OUT OF DIGITAL DASH SOLUTIONS, LLC WORK ON THE ODOMETER. DIGITAL DASH SOLUTIONS, LLC RESERVES THE RIGHT TO REFUSE ANY WORK FOR ANY REASON AND WITHOUT EXPLANATION. DIGITAL DASH SOLUTIONS, LLC HAS ADVISED ME OF MY LEGAL OBLIGATION TO NOTIFY PROSPECTIVE PURCHASERS THAT THIS VEHICLE’S MILEAGE HAS BEEN ALTERED. I HAVE ALSO BEEN ADVISED THAT CHANGING MILEAGE FOR PERSONAL GAIN IS A SERIOUS OFFENSE FOR WHICH I MAY BE PROSECUTED

VIN *

Odometer Mileage Statement Affidavit- Digital Form