Automotive Catalog 2023

Odometer Statements

Odometer Disclosure Statements

These forms are available with or without blue screen. Forms without the blue screen will scan more easily.

• 5-2/3" ×9-1/8" • 3-part, snap-out carbonless – White, Canary, Pink • 2 file holes for easy posting

• Items 842-IMP and 842-NS-IMP available crash imprinted in Red, Blue, Black, or Green ink on quantities of 500 and up

• Packaged 100 per pack • Quantity price breaks are: 1, 5, 10, 20, 40 • Minimum custom quantity 500

SALES

• Quantity price breaks are: 500, 1000, 2000, 3000, 5000

(3 Line Imprint Available Here)

(3 Line Imprint Available Here)

841-100 (Form ODOM-103-N) Blue Screen

841-NS (Form ODOM-103-N) No Screen

842-100 Plain 842-IMP Imprinted (Form ODOM-65-3) Blue Screen

842-NS Plain 842-NS-IMP Imprinted (Form ODOM-65-3) No Screen

This odometer statement is a short form which will line up perfectly to the pre‑programmed printer. • 5-2/3" ×8-1/4" • 3-part, snap-out, carbonless – White, Canary, Pink

This is a 2-part odometer. • 5-2/3" ×8-3/8" • 2-part, edge-glued, carbonless – White, Canary

839 (Form ODOM-CT)

840 (Form ODOM-933)

Lease Odometer Statement This form is designed to work on many pre-programmed printers. Complies with federal mileage disclosure laws. • 5-2/3" ×9-1/8" • 3-part, snap-out carbonless – White, Canary, Pink • Packaged 100 per pack • Quantity price breaks are: 1, 5, 10, 20, 40

843 (Form ODOM-489-L)

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