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All items marked with a * are required for your request to be submitted.
I certify to the best of my knowledge, this vehicle (check one in each line)
been wrecked, damaged, or destroyed. IF "Has" been, Approximate Damage Amount $
had air bags deployed.
salvage history, rebuilt salvage, or branded title.
Federal and State law require that you state the mileage of the vehicle described on this certificate when transferring ownership. Failure to do so, or providing a false statement, may result in fines and/or imprisonment.
I certify that, to the best of my knowledge, this odometer reading reflects the "ACTUAL MILEAGE" of the vehicle described above.
I certify that, to the best of my knowledge, this odometer reading "EXCEEDS MECHANICAL LIMITS".
I certify that, to the best of my knowledge, this odometer reading is "NOT THE ACTUAL MILEAGE" WARNING ODOMETER DISCREPANCY.
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