Automotive Catalog 2021
SALES
Odometer Disclosure Statements
• 5-2/3" ×9-1/8" • 3-part, snap-out carbonless – White, Canary, Pink • 2 file holes for easy posting These forms are available with or without blue screen. Forms without the blue screen will scan more easily.
• 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
(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
• 5-2/3" ×9-1/8" • 3-part, snap-out carbonless – White, Canary, Pink • Packaged 100 per pack This form is designed to work on many pre-programmed printers. Complies with federal mileage disclosure laws.
843 (Form ODOM-489-L)
62 Odometer Statements
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