A field-by-field walkthrough of the New York MV-103 (Odometer and Damage 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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This guide is informational and does not replace the official New York instructions. Always confirm the current form and procedure with the New York State Department of Motor Vehicles before you file.
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The MV-103 is New York's Odometer and Damage Disclosure Statement: the NYS odometer statement on a separate page. One side of the form certifies the mileage. The other half says whether the vehicle has or has not been damaged past 75% of its retail value, which decides whether the new title is branded "Rebuilt Salvage: NY."
Dealers rarely need it, because New York titles and the MV-50 carry these statements. You use the MV-103 when the title or certificate of sale in your hand has no disclosure section. This guide walks every box, says who fills it on a dealer sale, and covers the odometer exemptions and the record rule.
The current revision is MV-103 (5/25). The DMV describes it as the form "for use by a dealer or private owner where the title or dealer's certificate of sale does not have an odometer/damage disclosure statement section required by law." On most New York sales the disclosure goes on the back of the title and on the dealer's Retail Certificate of Sale (MV-50) instead, so the MV-103 is a fallback, not a form for every deal. The state's PDF has typeable fields, but it's encrypted, and DealerVLO's form uploader can't open it. Type it in a PDF reader or fill it by hand.
Gather these before you complete the MV-103. A missing attachment is the number-one reason the the New York State Department of Motor Vehicles bounces a title application back.
The DMV lists the MV-103 for a dealer or private owner whose title or dealer's certificate of sale doesn't have the odometer and damage disclosure section the law requires. On a normal retail sale, the odometer statement goes on the back of the title and on the MV-50, and the buyer signs to acknowledge it. Federal rule 49 CFR 580.5 says an owner who holds the title must disclose mileage on the title, not on a separate document, so don't swap in an MV-103 when the title has the section. The DMV also accepts a damage disclosure attached on an MV-103 in place of the one on the back of the title.
| Field | Who fills it |
|---|---|
Title has odometer and damage sections: use the title | You (dealer) |
Title or MV-50 has no disclosure section: use the MV-103 | You (dealer) |
Enter the odometer reading exactly as it shows on the car, with no tenths. Then check whether the odometer has five digits or six digits, excluding tenths. The form tells you to copy the reading "exactly as it appears," so read it off the dash on the day of sale, not from a trade appraisal or auction sheet.
| Field | Who fills it |
|---|---|
Odometer reading (no tenths) | You (dealer) |
Odometer has five digits / six digits Check one. | You (dealer) |
Box 1 certifies the reading reflects the actual mileage. Box 2 says the reading exceeds mechanical limits, meaning the odometer started over at zero. Box 3 says the reading is not the actual mileage, with the warning "odometer discrepancy." These match the three statements 49 CFR 580.5(e) requires. Whatever you check prints on the next title: the DMV says New York titles show "EXCEEDS MECHANICAL LIMITS" or "NOT ACTUAL MILEAGE, WARNING ODOMETER DISCREPANCY" when that applies.
| Field | Who fills it |
|---|---|
1. Actual mileage | You (dealer) |
2. Exceeds mechanical limits The odometer rolled over. | You (dealer) |
3. Not the actual mileage, odometer discrepancy Broken, replaced, or unreliable odometer. | You (dealer) |
Check one box. The seller certifies the vehicle has or has not been wrecked, destroyed, or damaged so that the estimated or actual cost of parts and labor to rebuild it for legal road use is more than 75% of its retail value at the time of loss. The form warns that checking "has" means the vehicle needs an anti-theft examination before it can be registered, and the new title will read "Rebuilt Salvage: NY." The odometer part has age exemptions; the DMV says the damage statement must be completed regardless of the vehicle's age. Failing to disclose salvage history carries a fine of up to $2,000, per the DMV, plus any Penal Law penalties.
| Field | Who fills it |
|---|---|
Has been damaged over 75% of retail value Triggers the anti-theft exam and the Rebuilt Salvage brand. | You (dealer) |
Has not been damaged over 75% of retail value | You (dealer) |
Fill in the vehicle year, make, model, body type, and the full 17-character VIN. Copy them from the title so they match the MV-82 and MV-50. Federal rules require these same five items in every odometer disclosure.
| Field | Who fills it |
|---|---|
Vehicle year, make, model, body type | You (dealer) |
Vehicle identification number All 17 characters, matching the title. | You (dealer) |
The seller signs, prints the name in full, and gives a mailing address, city, state, ZIP, and the date of the statement. On a retail sale the seller is your dealership. The new owner then signs, prints their full name, and gives their own address and date. Federal rule 580.5(f) has the buyer sign only after receiving the seller's signed statement, and the seller gets a copy. The DMV warns that it won't accept a title if any information is altered, erased, or crossed out, so if a box goes wrong, start a fresh form.
| Field | Who fills it |
|---|---|
Seller's signature and printed name | You (dealer) |
Seller's mailing address, city, state, ZIP, date | You (dealer) |
New owner's signature and printed name | Buyer |
New owner's mailing address, city, state, ZIP, date | Buyer |
Under 49 CFR 580.17, model year 2010 and older vehicles are exempt from odometer disclosure. Model year 2011 and newer vehicles are exempt only once they're 20 years old, so in 2026 every 2011-or-newer car still needs one. Vehicles over 16,000 pounds GVWR are also exempt. On a trade-in, the customer is the seller and your dealership is the new owner: they fill the seller lines, you sign as the new owner. Under 49 CFR 580.8, dealers keep a copy of every odometer statement they issue and receive for five years at their primary place of business. An electronic copy is fine if it can't be altered.
| Field | Who fills it |
|---|---|
Trade-in: customer signs as seller Your dealership signs as the new owner. | Buyer |
Dealer copy, kept 5 years 49 CFR 580.8, statements issued and received. | You (dealer) |
The DMV lists the MV-103 for titles and certificates of sale that lack the section. Federal rules require a titled owner to disclose on the title itself.
The form says to enter the reading with no tenths, and to check whether the odometer has five or six digits.
The odometer part has age exemptions. The DMV says the damage statement must be completed regardless of age.
The DMV won't accept title paperwork with altered, erased, or crossed-out information. Start a clean MV-103.
49 CFR 580.8 covers statements dealers receive as well as issue. Keep both for five years.
On most New York sales it's the odometer disclosure section on the back of the title (MV-999), and for a dealer retail sale, on the Retail Certificate of Sale (MV-50). When the title or certificate of sale has no disclosure section, the separate form is the MV-103, the Odometer and Damage Disclosure Statement. The current revision is MV-103 (5/25).
The New York DMV posts the MV-103 at dmv.ny.gov/forms/mv103.pdf, and the DMV says it's also available at any motor vehicle office. It has no fee.
It covers both. The top half is the odometer disclosure statement; the bottom half is the damage disclosure, where the seller checks whether the vehicle has or has not been damaged past 75% of its retail value. Checking "has" means an anti-theft examination before registration and a "Rebuilt Salvage: NY" title.
Under 49 CFR 580.17 and the DMV's guidance, model year 2010 and older vehicles are exempt, and model year 2011 and newer vehicles are exempt once they're 20 model years old. In 2026, every 2011-or-newer car needs one. Vehicles over 16,000 pounds GVWR are also exempt. The damage disclosure has no age exemption, per the DMV.
The form has no notary block. It needs the seller's and new owner's signatures, printed names, addresses, and dates.
Five years. Federal rule 49 CFR 580.8 requires dealers to keep a copy of every odometer disclosure they issue and receive, at their primary place of business. Electronic copies count if they can't be altered.
Not this one. The state's PDF is encrypted in a way our form uploader can't open, so you fill it in a PDF reader or by hand. DealerVLO does fill the official New York MV-82 and builds the federal Odometer Disclosure Statement from every deal.
Not this one. The New York MV-103 is an encrypted state PDF that DealerVLO's form uploader can't open, so it's completed by hand and signed in ink. Dealer management software like DealerVLO handles the paperwork around it from the deal you already entered: the official New York MV-82 title application, the Bill of Sale, the FTC Buyers Guide, and the odometer disclosure, so the MV-103 is the only page left to write. It's $29/month flat with a 14-day free trial.
The MV-103 is a hand-filled form. Everything around it isn't: DealerVLO fills the official New York MV-82 title application, the Bill of Sale, and the FTC Buyers Guide from your deal jacket. $29/month. 14-day free trial, cancel any time.

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