Automotive Catalog 2020


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 • Minimum custom quantity 500

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)

• 5-2/3"×9-1/8" • 3-part, snap-out carbonless – White, Canary, Pink • Packaged 100 per pack LeaseOdometer Statement This form is designed to work on many pre-programmed printers. Complies with federal mileage disclosure laws.

843 (Form ODOM-489-L)

Odometer Statements | 59

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