Mississippi Odometer Disclosure Statement – MS

In the State of Mississippi when you transfer your vehicle you have to complete the odometer reading on the back of the vehicle’s Certificate of title, in the Assignment of Title by Registered Owner section. It is mandatory to complete the odometer disclosure statement for all vehicles model year 2011 or newer, self-propelled, and with a registered weight of 16,000 lbs. or less.

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

However a separate Odometer Disclosure Statement might be necessary in situations when the title doesn’t provide a section to record the odometer reading or other situations. You may also complete for your safety a separate Odometer Disclosure Statement and keep it as a record of the sale along with a copy of the assigned Certificate of title.

Please note that an inaccurate statement, or failure to complete the statement, may result in fines and/or imprisonment. Also read carefully all the instructions on the vehicle’s Certificate of title before you write on it. Be careful because any alteration can void the Certificate of title.

Mississippi Odometer Disclosure Statement Form

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

The Mississippi Odometer Disclosure Statement form is composed of four sections. So below you will see how to complete this form:

Section 1

In the first section the seller records the odometer reading. Particularly use here only digits without tenths. If the odometer reading is in excess of the mechanical limits of the odometer or is not the actual mileage (Odometer Discrepancy) please check the corresponding box:

Photo of Mississippi Odometer Disclosure Statement form
Section 1 of Mississippi Odometer Disclosure form

Section 2

The second section includes the vehicle details. Accordingly complete here first the Make, Model, Body type, VIN Number and Year:

Photo of Mississippi Odometer Disclosure Statement form
Section 2 of Mississippi Odometer Disclosure form

Section 3:

In the third section complete first the seller’s or transferor’s signature and full name. Please write SELLER’S NAME using only Capital Letters. Next fill in here seller’s address, city, state, and ZIP code. Lastly complete the date of statement:

Photo of Mississippi Odometer Disclosure Statement form
Section 3 of Mississippi Odometer Disclosure form

Section 4:

At the last section fill in first the buyer’s or transferee’s signature and full name. Please write BUYER’S NAME using only Capital Letters. Finally fill in here the buyer’s address, city, state, and ZIP code:

Photo of Mississippi Odometer Disclosure Statement form
Section 4 of Mississippi Odometer Disclosure form

In the State of Mississippi you may need to fill in the Mississippi Odometer Disclosure Statement FormForm 78-015-17-8-1-000 Rev (09/7).

If you don’t know how to get a precise odometer reading you can find all the details here: Reading the Odometer – How to read an Odometer.

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

You may also fill in this form by hand. However don’t forget to use a pen with blue or black ink and not a pencil!

How to fill in the Mississippi Odometer Disclosure Statement

When you fill in the odometer reading in the Assignment of Title by Registered Owner section on the back of the vehicle’s Certificate of Title you need to record the following details. Please always use a pen with blue or black ink and not a pencil and read first all the instructions on the title.

First the seller certifies that the vehicle described in this title is transferred to the mentioned buyer below. Also the seller certifies that this vehicle is free of all encumbrances, except as shown on the title. So first the seller fills in the PRINTED NAME of the buyer. Next the seller fills in the buyer’s address, city, state and ZIP code.

After that the seller certifies and fills in the odometer reading as the Actual Mileage. Use here only digits without tenths. Only if it’s the case the seller may check the first check box if the Odometer reading entered is in EXCESS of the odometer’s mechanical limits. Or the seller may check the second check box only if the Odometer reading entered is NOT the Actual Mileage (Warning – Odometer Discrepancy).

Next fill in seller’s signature, PRINTED NAME(S) and date of sale. Be careful and always write seller’s name EXACTLY as it appears on the title!

Finally the buyer acknowledges the odometer certification made by the seller, signs and fills in his/her PRINTED NAME(S):

Photo of a Mississippi Certificate of Title section
Assignment of Title by Registered Owner section on the Mississippi Certificate of Title

Odometer Fraud in Mississippi

If you think you may be a victim of odometer fraud please file a complaint here: Mississippi Attorney General’s Office – Consumer Protection Division.

Find more details about the Mississippi Motor Vehicle Licensing Bureau

For more updates please go to the Mississippi Motor Vehicle Licensing Bureau.

In the State of Mississippi the Department of Revenue is the primary agency for collecting tax revenues. The collected taxes support state and local governments in Mississippi. Also this agency is responsible for titling and registration of motor vehicles.