VEHICLE INFORMATION trailer Illinois' Title System: VSD 224: Junk Vehicle Notification Form: VSD 325: Leased Vehicle Registration Affirmation: VSD 327: Mechanic's Lien Affirmation: VSD 526: Natural Disaster Disclosure Statement: VSD 694: Notice of Address Change: VSD 165: Odometer Disclosure Statement for Title Transfers: VSD 333: Power of Attorney: RT 5 0000001298 00000 n 0000001516 00000 n Home » Odometer Disclosure Statement Form – All 50 States. The .gov means it’s official. For an incorrectly recorded lien or security interest holder, Form T-4 ... Free Illinois Certified Payroll Form 2 PDF Download; %%EOF State of Georgia government websites and email systems use “georgia.gov” or “ga.gov” at the end of the address. How to complete the Odometer statement for illinois form on the web: To get started on the document, utilize the Fill & Sign Online button or tick the preview image of the form. 0000002867 00000 n 0000007717 00000 n Get And Sign Title Switch Affidavit Illinois Secretary Of State 2015-2021 Form . Illinois: Form VSD 333 - Odometer Disclosure Statement for Title Transfers Indiana: Enter the reading on the existing title. Inspecting the Vehicle † Make sure odometer progresses properly. 0000002348 00000 n This form is used when information is printed incorrectly on a certificate of title or when alteration or erasure has occurred on the title. The Odometer Reading or Brand is incorrect. Under penalties of perjury, the undersigned states that the above statements are true and correct and will assume all liability and costs for any litigation that may arise from the issuance of this Certificate of Title. An Illinois licensed vehicle dealer must provide: † bill of sale. ODOMETER DISCLOSURE STATEMENT . Affidavits must be obtained from all owners involved since the discrepancy in the odometer reading occurred. $��0� ���:$$5���d=���}� �� 0000009315 00000 n MAKE . David J. Diersen v. Chicago Car Exchange, Inc., 110 F.3d 481 (7 th Cir. Quick Links. NOTE: THIS AFFIRMATION CANNOT BE USED FOR ODOMETER DISCLOSURE OR CORRECTIONS. The owner of the vehicle must state the reason the correction is needed and provide proper documentation to verify the accuracy of the correction. (A separate conforming odometer statement is required to be attached to this form.) † odometer statement. Place a check mark by the record you are seeking to correct. 3. Assistance in completing this form and the appropriate fees may be obtained by contacting a deputy registrar or the Driver and Vehicle 141 0 obj <>stream Illinois: Form VSD 333 - Odometer Disclosure Statement for Title Transfers Indiana: Enter the reading on the existing title. LOL I think Bill might know the answer to this … If you can't find the form you need OR have questions about a specific form, visit your local Illinois SOS office branch OR … 0000015749 00000 n Odometer Fraud Victims Suffer Major Setback. NOTE: THIS AFFIRMATION CANNOT BE USED FOR ODOMETER DISCLOSURE OR CORRECTIONS. The most secure digital platform to get legally binding, electronically signed documents in just a few seconds. Federal Law – 49 U.S. Code Chapter 327 (Odometers) Odometer Disclosures – By State. Local, state, and federal government websites often end in .gov. Learn more. 0000006042 00000 n 2. Affidavit of Correction Request Form Example. 106 0 obj <>/Filter/FlateDecode/ID[<4A0EFDF2845DDBEA0A0D646C4EE77E69><24B0172F1BFD9A4EA7BD74B553C37929>]/Index[69 73]/Info 68 0 R/Length 126/Prev 88686/Root 70 0 R/Size 142/Type/XRef/W[1 2 1]>>stream Details. Utility Links. Complete the vehicle identification information as it appears on the current title. 0000015977 00000 n 0000013079 00000 n All sellers and buyers must sign for corrections on altered sale dates, and for correction on odometer, damage, and pollution disclosure statements. NOTE: THIS AFFIRMATION CANNOT BE USED FOR ODOMETER DISCLOSURE OR CORRECTIONS. Next, the Seller must define the accuracy of the Odometer. 0000023244 00000 n You must electronically file Form IL-941-X, Amended Illinois Withholding Income Tax Return, with all required support, if. <<2AB9FCD3164F664B884E02579C33639D>]>> TAG NO. † Inspect tires — low-mileage vehicles typically have the original tires. Illinois Odometer Disclosure Statement. Mississippi. 1. Need Help? Fill out, securely sign, print or email your affirmation correction form instantly with SignNow. 0000023321 00000 n 4. The seller of the vehicle must state the reason a correction is needed and make a correct disclosure. Printed by authority of the State of Illinois. 0000001172 00000 n ... AFFIDAVIT FOR CERTIFICATE OF TITLE CORRECTION State Form 55582 (R2 / 2-19) INDIANA BUREAU OF MOTOR VEHICLES. xref 0000006849 00000 n 2. 1997), cert. View up to date information on how Illinois is handling the Coronavirus Disease 2019 (COVID-19) from the State of Illinois Coronavirus Response Site. Law Enforcement Certification (Motor Vehicle-Odometer) Form. STATE OF ILLINOIS AFFIDAVIT AND CERTIFICATE OF CORRECTION REQUEST INSTRUCTIONS 1. Fill out, securely sign, print or email your odometer statement for illinois form instantly with SignNow. 3. 0000008576 00000 n Available for PC, iOS and Android. endstream endobj 70 0 obj <. 178 (1997) is a lawsuit that involved the Federal Odometer Act (FOA), the Department of Transportation’s (DOT) authority to grant exemptions from the FOA, and the sufficiency of material facts that would make a dealer suspicious of a car’s mileage. Illinois Certified Payroll Form 19 Document(s) Illinois Separation Agreement Template 20 Document(s) Illinois Guardianship Form 23 Document(s) Illinois Child Custody Form 25 Document(s) Illinois Commercial Lease Agreement 47 Document(s) Illinois Petition for Writ of Habeas Corpus 43 Document(s) Illinois Direct Deposit Form 75 Document(s) This is a Illinois form and can be use in Miscellaneous Secretary Of State. %PDF-1.6 %âãÏÓ Under penalties of perjury, the undersigned states that the above statements are true and correct and will assume all liability and costs for any litigation that may arise from the issuance of this Certificate of Title. Printed by authority of the State of Illinois. 0000001491 00000 n 2. March 2019 – 1 – VSD 43.8 Office Law E This ffoorm maayy be used in in Name of Owner(s): 1. I, _____, STATE THAT THE ODOMETER MILEAGE ON THE VEHICLE DESCRIBED BELOW READS _____ miles OR _____ kilometers. sampleforms.com. 0000002185 00000 n Correction Il. Iowa: Form 411077 - Odometer Disclosure Statement Kansas: Form TR-59 - Odometer Disclosure Statement Kentucky: Form TC 96-5 - Odometer Disclosure Statement Louisiana: Form 1606 - Odometer Disclosure Statement Anyone know how the Illinois secretary of state 'affirmation of correction' form works, for car titles? Any alterations, use of white-out or cross-outs will void this affidavit. Free Download of Georgia Affidavit Of Correction PDF Document available in PDF format! February 2016 — 1 — VSD 333.4 Street City, State, ZIP Seller’s name (type or print) Street City, State, ZIP Secretary of State Odometer Disclosure Statement for Title Transfers Secretary of State Vehicle Services Department … Attach this form, when completed, to the current certificate of title. X����c�����o{�f�:p5�2h63�`a�`�i�t0faX���C������ �5�W6l� F��3Nv�t�f,#��#�f`��B��gX��#7y� �2fF�I�@�����᳸���!e� 0 S�M endstream endobj startxref 8 30 0000001096 00000 n Complete the vehicle identification information as it appears on the current title. AL – Use Federal Form; AK – Form 839; AZ – Use Federal Form; AR – Included in Bill of Sale When seeking to correct information on your title, and the title has been lost, stolen or mutilated, you must apply for a Duplicate Title. Form T-107 Odometer Discrepancy Affidavit (217.02 KB) Department of Revenue. 8 0 obj <> endobj h�bbd``b`��� �D� +��JN0��I0�qW�X��X�ڍ���$�[email protected]���X� BDh�ļ@�� State of Illinois Person appointed by a power of attorney . VEHICLE IDENTIFICATION NO. AFFIDAVIT TO CORRECT ODOMETER This form may be used to make a correction to odometer information. The Illinois Secretary of State (SOS) provides a number of useful driver and vehicle-related forms online, most of which you can download from the library below.. Enter your official contact and identification details. How does an affidavit of correction work and how does it differ from any other affidavit? Odometer correction tool is a KM adjust tool (or you can call it speedometer reset tool, dashboard repair kit, mileage correction programmer) that allows you to change the data of the vehicle odometer. Printed by authority of the State of Illinois. Contact Us. An affidavit of correction differs from any other affidavit in that an affidavit of correction has that aim of changing something. 0000023050 00000 n AFFIDAVIT FOR CORRECTED CERTIFICATE OF TITLE – ODOMETER DISCLOSURE . h�b``Pf``.a```�>ˀ 3. THIS AFFIRMA TION CANNO T BE USED FOR ODOMETER DISCLOSURE OR CORRECTIONS. cannot . Iowa: Form 411077 - Odometer Disclosure Statement Kansas: Form TR-59 - Odometer Disclosure Statement Kentucky: Form TC 96-5 - Odometer Disclosure Statement Louisiana: Form 1606 - Odometer Disclosure Statement %PDF-1.6 %���� Enter your official identification and contact details. Printed by authority of the State of Illinois. startxref This form may only be used to make a correction to odometer information incorrectly stated on the title or manufacturer’s statement of origin. This is the federal form although your State may have their own Odometer Disclosure Statement that is provided by the Department of Motor Vehicles (DMV). I, _____, STATE THAT THE ODOMETER MILEAGE ON THE VEHICLE DESCRIBED BELOW READS _____ miles OR _____ kilometers. Download or preview 1 pages of PDF version of Affidavit of Mileage Correction (DOC: 121.0 KB | PDF: 198.8 KB ) for free. Learn more. Attach this form, when completed, to the current certificate of title. 0000000896 00000 n ILLINOIS DEPARTMENT OF PUBLIC HEALTH Division of Vital Records 925 E. Ridgely Ave. Springfield, IL 62702-2737 If you have additional questions, e-mail them to [email protected] IOCI 18-309 State of Illinois Illinois Department of Public Health Printed by Authority of the State of Illinois … This form is used when information is printed incorrectly on a certificate of title or when alteration or erasure has occurred on the title. File Format. 0000000016 00000 n VEHICLE INFORMATION . 0000022810 00000 n Download. 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