Iowa Odometer Disclosure Statement – IA

In the State of Iowa when you sell or transfer the ownership of a vehicle you have to complete the odometer disclosure statement found in the Assignment of title section on the back of the vehicle’s Certificate of Title for any vehicle that is a model year 2011 or newer, self-propelled, and below 16,000 pounds. In certain cases, for example in an odometer discrepancy case, you may need to complete a separate Odometer Disclosure Statement form as well. See more details below.

The following vehicles are exempt from odometer disclosure in the State of Iowa: all vehicles model year 2010 or older, vehicles over 16,000 lbs., non-motorized vehicles (trailer-type), low-speed vehicles (LSV), and mopeds or scooters.

Moreover please don’t make mistakes when you write on the back of the vehicle’s Certificate of title. Any alteration or erasure will void the title! So read first all the details and requirements before you start to write on the title!

In the case you want to submit for review an odometer discrepancy case with the Iowa Department Of Transportation you must provide copies of the following documents, depending on your case:

  • Certificate of title (front and back)
  • Bill of Sale or Purchase agreement
  • Odometer Disclosure Statement Form signed by both the seller and the buyer
  • Maintenance and Service records that show the mileage history
  • Notarized Statement of Fact completed by the seller as well as one completed by the buyer for each title reassignment with an odometer error
  • Supplemental reassignment forms, Power of Attorney forms, and/or supplemental odometer disclosures, if the seller supplied any of them at the time of purchase

We also recommend for the safety of the seller to complete the separate disclosure statement form below and to keep it as a transaction record together with a copy of the assigned Certificate of title for a period of five years.

Iowa Odometer Disclosure Statement Form

Below you can find the Iowa state-approved fillable PDF form for your use.

If you need or decide to complete the state-approved fillable Form 411077 you can find below details and instructions. This form is composed of four sections. Below you’ll see how to complete this official form:

Section 1

The first section is the Odometer Disclosure Statement. First complete the full PRINTED name of the transferor or the seller. This means to use only Capital Letters to write SELLER’S NAME. Next complete the current odometer reading. Please use only digits without tenths. However if the odometer reading is in excess of the mechanical limits check the first corresponding box. Or check the second corresponding box if the odometer reading is not the actual mileage (Odometer Discrepancy):

Photo of an Iowa Odometer Disclosure Statement Form Section

Section 1 of the Iowa Odometer Disclosure Statement Form 411077

Section 2

In the second section complete the vehicle’s details. Start by filling in the Make, Model, Body style/type, Vehicle Identification Number (VIN) and Year:

Photo of an Iowa Odometer Disclosure Statement Form Section

Section 2 of the Iowa Odometer Disclosure Statement Form 411077

Section 3:

At the third section complete Transferor’s or Seller’s details. Complete here first the seller’s signature and hand printed name. Please write SELLER’S NAME using only Capital Letters. Next fill in here the seller’s complete street address, city, state and ZIP code. Lastly complete the date of the statement:

Photo of an Iowa Odometer Disclosure Statement Form Section

Section 3 of the Iowa Odometer Disclosure Statement Form 411077

Section 4:

In the last section complete Transferee’s or Buyer’s details. Complete here first the buyer’s signature and hand printed name. Next complete here the full PRINTED name of the Transferee or Buyer. Please write BUYER’S NAME using only Capital Letters. Finally fill in here buyer’s complete street address, city, state and ZIP code:

Photo of an Iowa Odometer Disclosure Statement Form Section

Section 4 of the Iowa Odometer Disclosure Statement Form 411077

In the State of Iowa you may need to complete also the Iowa Odometer Disclosure Statement FormForm 411077 (Rev. 09-19).

If you want to know how to get an exact odometer reading you can find all the details here: Reading the Odometer – How to read an Odometer.

Tip: to complete the Iowa Odometer Disclosure Statement Form on your device (computer / phone / tablet) open this PDF form in Adobe Acrobat Reader.

You may complete this form by hand as well. However don’t forget to use a pen and not a pencil!

How to complete the Iowa Odometer Disclosure Statement

If you complete the Odometer Disclosure Statement in the Assignment of title section on the back of the vehicle’s Certificate of Title you have to complete the following details.

First complete the full PRINTED name of the buyer and buyer’s complete address, city, state and ZIP code.

Next complete the current odometer reading and use only digits without tenths. Next check if this is the Actual Mileage. Alternatively you may check if the Odometer reading entered is NOT the actual mileage (Odometer Discrepancy). Or check the last box if the Odometer reading entered is in EXCESS of the odometer’s mechanical limits.

After that complete the date of sale.

Following you need to answer two questions with Yes or No. The first question is about the seller’s knowledge if the vehicle is now or was previously titled as salvage, rebuilt or flood in this state or any other state. If you answer Yes and the front of the title doesn’t indicate that the vehicle was previously titled as salvage, rebuilt or flood the seller must complete a separate damage disclosure statement and give it to the buyer. If the answer to the first question is No then move to the second question. Here the seller needs to answer if he/she has knowledge that, prior to or during the time he/she owned the motor vehicle, it sustained damage for which the cost of repair exceeded 50% of the fair market value before it became damaged.

Finally complete the full names of the seller and the buyer. The names must be PRINTED. This means to use only Capital Letters to write SELLER’S and BUYER’S NAME. In the end complete seller’s and buyer’s signatures:

Photo of Iowa Certificate of Title section

Assignment of Title section on the back of the Iowa Certificate of Title


Odometer Fraud in Iowa

If you think you are a victim of odometer fraud you have the following options to report this. You can send an email at [email protected] or submit a Notice of Complaint Form. You may also contact an investigator in your area.

Find more details about the Iowa Motor Vehicle Division

For more details please visit Iowa Motor Vehicle Division.

The Iowa Department of Transportation delivers and advocates for a modern transportation system. This system provides pathways for the social and economic vitality of the State of Iowa.