"DISCLOSURE STATEMENT
Vehicle Identification Number (VIN):
Year: Make: Model:
Prior Title Number:
State of Title:
Odometer Reading:
This is a used motor vehicle. It was previously returned to the manufacturer or its agent in exchange for a replacement motor vehicle or a refund because it was alleged or found to have the following nonconformities:
THIS DISCLOSURE MUST BE GIVEN BY THE SELLER TO THE BUYER EVERY
TIME THIS VEHICLE IS RESOLD
____________________________________
________________________
(Buyer's Signature)
Date"
"DISCLOSURE STATEMENT
Vehicle Identification Number (VIN): _________________________________________
Year: ____________ Make: ____________ Model: ____________________________________
Prior Title Number: ____________ State of Title: _____________________________________
Odometer Reading: _____________________________________________________________
Warning: This motor vehicle was previously sold as new. It was subsequently alleged or found to have the following defect(s), malfunction(s), or conditions:
THIS DISCLOSURE MUST BE GIVEN BY THE SELLER TO THE BUYER EVERY
TIME THIS VEHICLE IS RESOLD"
Utah Code § 41-3-408