How to fill out the State Form 43230 in Indiana
A field-by-field walkthrough of the Indiana State Form 43230 (Odometer Disclosure Statement) for licensed used car dealers — what goes in every section, who signs what, and the documents you attach. Verified against the official form as of October 2026.
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Filling out the IN State Form 43230 after a sale:
- What it is
- Indiana's separate odometer disclosure statement, used when the odometer statement isn't completed on the title or certificate of origin
- Who completes it
- The seller fills it in and signs; the purchaser signs, prints their name and address, and returns a copy to the seller. On a retail sale, the seller is your dealership
- Where to file it
- With the title paperwork at the BMV when it replaces the title's disclosure. You keep a copy for 5 years
- Processing time
- None of its own. It goes with the State Form 205 title application
- Cost
- Free PDF from forms.in.gov. The form has no fee line
This guide is informational and does not replace the official Indiana instructions. Always confirm the current form and procedure with the Indiana Bureau of Motor Vehicles (BMV) before you file.
The State Form 43230 is one car's paperwork. A 20-second read on your lot, and the tax-and-fee math for the whole deal — built for dealers, no signup. Free calculators dealers actually use — no signup, no email.
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What the State Form 43230 is and why it matters
State Form 43230 is Indiana's Odometer Disclosure Statement: the seller's written mileage statement on its own page. Federal and Indiana law require the seller to disclose the mileage in writing when ownership transfers. On most used-car deals that happens in the odometer section of the title. The 43230 is for the deals where it doesn't, and for one dealer case the BMV spells out: buying a car whose title is electronic.
The form is short. The seller's name and address, the reading, two optional mileage statements, the vehicle, the transfer date, then both signatures. This guide walks every box on the current R5 / 4-26 revision, says when an Indiana dealer needs it, and covers the exemptions and the five-year record rule.
The current revision is State Form 43230 (R5 / 4-26), a one-page fillable PDF from the Indiana Bureau of Motor Vehicles. It cites IC 9-17-2-6, IC 9-18.1-3-1, and 49 CFR 580 as its legal authority. You can upload the blank PDF to DealerVLO once under Settings → Forms and map the vehicle, mileage, transfer date, buyer, and dealer boxes. Three quirks in the state's PDF: the two mileage statements are a radio button, which DealerVLO's form filler doesn't set, so you mark it by hand when it applies; the seller's address is one box for street, city, state, and ZIP; and the signature lines are plain text boxes. Leave those unmapped. The signatures go on in ink.
Documents to have before you start
Gather these before you complete the State Form 43230. A missing attachment is the number-one reason the the Indiana Bureau of Motor Vehicles (BMV) bounces a title application back.
- The title or certificate of origin — Check its odometer section first. The BMV's title packet calls for State Form 43230 when the odometer statement isn't completed on the title or certificate of origin.
- State Form 205, the title application — IC 9-17-2-6 requires the title application to carry the odometer reading as of the date of sale. It must match the 43230. See the State Form 205 guide.
- State Form 57738, Electronic Title Transfer, when you buy a car on an electronic title — The 57738 says a separate State Form 43230 must be completed by the seller and the dealer.
- Your deal jacket — The Secretary of State's Auto Dealer Services deal jacket checklist lists an odometer disclosure statement for all transactions.
State Form 43230, section by section
When an Indiana dealer needs State Form 43230
Under 49 CFR 580.5(c), an owner who holds the title discloses the mileage on the title. The BMV's out-of-state title transfer packet asks for State Form 43230 only "if the odometer statement is not completed on the certificate of title or certificate of origin." For a dealer that means three common cases. First, a vehicle with no title the disclosure can go on; 580.5(g) says an untitled vehicle's disclosure goes on a separate document. Second, buying a car whose title is electronic: the BMV's State Form 57738 (Electronic Title Transfer), used when a seller transfers an electronic title to a licensed dealer, says a separate 43230 must be completed by the seller and the dealer. On that deal your dealership is the purchaser. Third, any deal where the title's odometer section was left blank. If you resell on Indiana's dealer reassignment form (State Form 20070), that form has its own odometer statement.
| Field | Who fills it |
|---|---|
Paper title with a completed odometer section Disclose on the title. No 43230 needed. | You (dealer) |
Odometer section not completed on the title or certificate of origin Complete a 43230. | You (dealer) |
Buying a car on an electronic title (State Form 57738) Seller and dealer complete a 43230. You sign as purchaser. | You (dealer) |
Vehicle that isn't titled Federal rule: the disclosure goes on a separate document. | You (dealer) |
Seller's name and address
The form opens with a sentence: "I, [printed name of seller], residing at [address], certify..." On a retail sale the seller is your dealership, so print its name and business address. The form's instructions say the disclosure must be signed by the seller and include the printed name, and if more than one person is a seller, only one has to sign. The address is a single box for number and street, city, state, and ZIP.
| Field | Who fills it |
|---|---|
Printed name(s) of seller(s) Your dealership's name on a retail sale. | You (dealer) |
Address of seller(s): number and street, city, state, ZIP One box for the full address. | You (dealer) |
Mileage: the reading and the two statements
Enter the reading in miles with no tenths. Then read the certification carefully, because Indiana's form works differently from most. The seller certifies "the odometer reading is the actual mileage of the vehicle described below unless one of the following statements is checked." There is no box for actual mileage. If the reading is actual, you check nothing. Statement 1 is for a reading that reflects mileage in excess of the odometer's mechanical limits (it has rolled over). Statement 2 says the reading is NOT the actual mileage and should not be relied upon, with "WARNING - ODOMETER DISCREPANCY." Under 49 CFR 580.5(e), use statement 2 only when you know the reading differs from the true mileage by more than calibration error. In the state's PDF the two statements are one radio button, so only one can be selected.
| Field | Who fills it |
|---|---|
Miles (no tenths) Read it off the dash at the time of transfer. Never estimate. | You (dealer) |
Actual mileage No box. Leave both statements unchecked. | You (dealer) |
1. Mileage in excess of mechanical limits | You (dealer) |
2. NOT the actual mileage (odometer discrepancy) Check one statement at most. | You (dealer) |
Vehicle and transfer date
Below the mileage are the vehicle's make, model, year, and body type, then the VIN and the transfer date. 49 CFR 580.5(c) requires each of these. Copy them from the title so they match State Form 205 exactly, and use the date the car changes hands.
| Field | Who fills it |
|---|---|
Vehicle make, model, year | You (dealer) |
Vehicle body type | You (dealer) |
Vehicle Identification Number (VIN) All 17 characters, matching the title and State Form 205. | You (dealer) |
Transfer date (mm/dd/yyyy) | You (dealer) |
Seller's signature and the perjury affirmation
Above the seller's signature is an affirmation. The seller agrees not to hold the BMV responsible for any discrepancy in the reading, and swears or affirms the information is correct, with the line "I understand that making a false statement may constitute the crime of perjury." The form also warns that failing to complete it or giving a false statement may result in fines, imprisonment, or both. Sign and date it. The instructions say to complete the form in its entirety in blue or black ink. In the fillable PDF the signature lines are text boxes; don't type a name there. Sign by hand.
| Field | Who fills it |
|---|---|
Signature(s) of seller(s) Ink. One signature is enough when there are several sellers. | You (dealer) |
Date (mm/dd/yyyy) | You (dealer) |
Purchaser's information
The bottom block is the purchaser's: "I am aware of and acknowledge the above odometer certification made by the seller(s)." The buyer signs and dates it, then gives their printed name and address with city, state, and ZIP. The form's instructions say the purchaser signs, includes their printed name and address, and returns a copy to the seller. The federal rule at 49 CFR 580.5(f) says the same: the buyer signs and makes a copy available to the seller. You can type the buyer's name and address from the deal. The buyer signs their own line.
| Field | Who fills it |
|---|---|
Signature(s) of purchaser(s) Ink. The buyer's own signature. | Buyer |
Date (mm/dd/yyyy) | Buyer |
Printed name(s) of purchaser(s) You can type it from the deal; the buyer checks it. | Buyer |
Address, city, state, ZIP | Buyer |
Trade-ins, exemptions, and the 5-year rule
49 CFR 580.8 requires a dealer to keep a copy of every odometer statement it issues and every one it receives for five years, at its primary place of business, in an order that permits systematic retrieval. Electronic copies count if they can't be altered. That covers the 43230 you get from a seller on an electronic-title buy, not only the ones you give buyers. On exemptions, 49 CFR 580.17 exempts model year 2010 and older vehicles, model year 2011 and newer vehicles once 20 years have passed since January 1 of the model year, vehicles over 16,000 pounds GVWR, and vehicles that aren't self-propelled. The BMV's out-of-state title packet says trailers, vehicles over 16,000 pounds, and watercraft don't need the form.
| Field | Who fills it |
|---|---|
Copy of every 43230 you issue or receive, kept 5 years At your primary place of business. | You (dealer) |
Copy back from the purchaser The form's instructions require it. | Buyer |
Common State Form 43230 mistakes that cause rejections
Indiana's form has none. Actual mileage is the default. Leave both statements unchecked unless the reading exceeds mechanical limits or isn't the actual mileage.
Read the odometer at the time of transfer and enter whole miles only.
In the fillable PDF the signature lines are text boxes. Leave them blank when you map the form and sign in blue or black ink.
State Form 57738 says the seller and the dealer must complete a separate 43230. Keep it in the car's file for five years.
IC 9-17-2-6 requires the title application to carry the reading as of the date of sale. Copy the same number from the 43230.
The purchaser signs their own acknowledgment and returns a copy to the seller. Type their name and address if you like; leave the signature to them.
Common questions
Where do I get an Indiana odometer disclosure statement?+
The Indiana BMV publishes it as State Form 43230, a free one-page fillable PDF on forms.in.gov. The current revision is R5 / 4-26. The download button at the top of this guide links straight to it.
Do I need State Form 43230 if the title has an odometer section?+
Usually not. The BMV's out-of-state title packet calls for the 43230 if the odometer statement is not completed on the certificate of title or certificate of origin. A dealer also needs one when buying a car on an electronic title: State Form 57738 says the seller and the dealer must complete a separate 43230.
Which vehicles are exempt from odometer disclosure in Indiana?+
Under 49 CFR 580.17: model year 2010 and older; model year 2011 and newer once 20 years have passed since January 1 of the model year (no 2011 reaches that before 2031); vehicles over 16,000 lbs GVWR; and vehicles that aren't self-propelled. The BMV's out-of-state title packet says trailers, vehicles over 16,000 pounds, and watercraft don't need the form.
Do all sellers have to sign the Indiana odometer statement?+
No. The form's instructions say that if more than one person is a seller, only one is required to sign. The signer's printed name has to be on it.
Does State Form 43230 need to be notarized?+
No. The form has no notary block. The seller signs under an affirmation that a false statement may be perjury, and the purchaser signs an acknowledgment.
How long do Indiana dealers keep odometer statements?+
Five years, under 49 CFR 580.8: a copy of every odometer statement the dealer issues or receives, at its primary place of business, in an order that permits systematic retrieval. The Secretary of State's deal jacket checklist lists an odometer disclosure statement for all transactions.
Is there software that fills out the State Form 43230 automatically?+
Yes. The Indiana State Form 43230 is a fillable PDF, so dealer management software like DealerVLO can fill it for you: upload the blank form once, DealerVLO detects its fields and suggests a mapping you confirm, and from then on it fills from every deal you enter — the buyer, co-buyer, the vehicle you sold, and your dealership's details already in place. It's $29/month flat with a 14-day free trial, and the same deal also generates your federal documents (Bill of Sale, FTC Buyers Guide, odometer disclosure) and your state title paperwork.
Stop filling out the State Form 43230 by hand.
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