Missouri Form 3019 is the state’s Odometer Disclosure Statement, used to record a vehicle’s mileage when ownership changes hands and the title itself doesn’t have room for the disclosure. You can download it from the Missouri Department of Revenue at dor.mo.gov/forms/3019.pdf and submit it with your title application at any Missouri license office or by mail to Jefferson City. The form is one page, but a missing signature or the wrong checkbox is a common reason title packets get sent back, so it’s worth taking a few minutes to get it right.
When You Need Form 3019
Missouri law requires sellers to record the odometer reading whenever ownership of a motor vehicle transfers.1Missouri Revisor of Statutes. Missouri Code 407.536 – Odometer Mileage to Be Shown on Title Most of the time that reading goes directly on the back of the Missouri title in the assignment section. Form 3019 is for the situations where that doesn’t work: the title is non-conforming (an out-of-state title with no disclosure area, for example), or the original title isn’t available at the time of sale because a lienholder is holding it.
Not every vehicle requires a disclosure at all. The form lists four exempt categories:
- Model year 2010 or older vehicles, once at least ten years old.
- Model year 2011 or newer vehicles, once at least twenty years old. A 2011 model doesn’t become exempt until 2031.2National Highway Traffic Safety Administration. Consumer Alert: Changes to Odometer Disclosure Requirements
- Motor vehicles with a gross vehicle weight rating above 16,000 pounds. Pickups and vans are not exempt unless they exceed that rating.
- New vehicles transferred on a Manufacturer’s Statement of Origin from one franchised dealer to another.
If your vehicle falls into one of those buckets, you don’t need Form 3019 for the transfer.
How to Fill Out the Form
Before you start, pull the certificate of title and have the vehicle in front of you. You’ll need:
- The full 17-character VIN, usually visible on the dashboard near the windshield or on the driver-side door jamb.
- The title number and issuing state, copied from the existing certificate of title.
- The year, make, model, and body style, which must match what’s printed on the title. Body style is the physical configuration: sedan, coupe, pickup, SUV, and so on.
The Department of Revenue cross-checks what you write against its records, so a small discrepancy between the form and the title can slow the application down.3Missouri Department of Revenue. Missouri Form 3019 Odometer Disclosure Statement
Recording the Mileage
Write the exact reading shown on the odometer at the time of transfer, dropping the tenths. If the dash reads 87,432.6, you write 87,432. Then check one of three boxes:3Missouri Department of Revenue. Missouri Form 3019 Odometer Disclosure Statement
- Actual mileage. The reading reflects the vehicle’s true mileage.
- Mileage in excess of mechanical limits. The odometer has rolled past its maximum and started over. If the true mileage is 125,000 but a five-digit odometer shows 25,000, you write 25,000 and check this box.
- Mileage is not actual. The reading doesn’t reflect the real mileage, whether because of a broken gauge, a replacement instrument cluster, or unknown history. When this box is checked, the seller must also submit a written statement explaining the facts about the true mileage versus what the odometer displays.
This is where most rejections happen. Checking the wrong box, or forgetting the written explanation when “not actual” applies, will send the whole title packet back.
Signatures
Both the buyer and the seller print their full legal names and current residential addresses (street, city, state, ZIP), then sign and date by hand. Those signatures certify under penalty of perjury that everything on the form is true.3Missouri Department of Revenue. Missouri Form 3019 Odometer Disclosure Statement Erasures, white-out, or crossed-out entries will usually get the form rejected. If you make a mistake, start fresh on a clean copy.
When a Power of Attorney Is Involved
If the certificate of title is held by a lienholder or has been lost, the seller can execute a written power of attorney authorizing someone else to complete the transfer and restate the odometer reading on the title assignment. The person holding that power of attorney must record the exact mileage the seller disclosed, with no rounding or estimating.1Missouri Revisor of Statutes. Missouri Code 407.536 – Odometer Mileage to Be Shown on Title
Federal rules draw one firm line: the same person cannot sign the odometer disclosure as both seller and buyer. A power of attorney that would let one individual execute both sides of the transaction is prohibited.4National Highway Traffic Safety Administration. MOPOA.ETL The only exception is when the title is unavailable because a lienholder is holding it or the title is lost, and in that narrow case one party may use a secure power of attorney to delegate the disclosure to the other party.
Where to Submit and What It Costs
Form 3019 goes in with the rest of your title application: the signed-over certificate of title, a completed Application for Missouri Title and License (Form 108), and any other required paperwork such as a lien release or bill of sale.5Missouri Department of Revenue. Motor Vehicle Titling and Registration You have two ways to file:
- In person at any Missouri license office. The locator at dor.mo.gov/license-office-locator/ will find the nearest one.
- By mail to the Department of Revenue, 301 West High Street, Jefferson City, MO 65101.
Expect an $8.50 title fee and a $9 processing fee, with a possible $2 electronic transmission fee on top.5Missouri Department of Revenue. Motor Vehicle Titling and Registration Sales tax, registration, and any other charges owed on the vehicle are separate. If you also need a duplicate title because the original is lost, that’s another $8.50 plus the same $9 processing fee.6Missouri Department of Revenue. Missing Titles / Applying for a Duplicate Title
The new title gets mailed to the owner, or to the lienholder if there’s a loan on the vehicle. Keep a photocopy of your completed Form 3019 and everything you submitted with it. If a mileage dispute surfaces later, that copy is your proof of what was disclosed.
Penalties for a False Disclosure
The signature line is backed by real consequences. Tampering with an odometer, which includes disconnecting, resetting, or altering it to change the displayed mileage, is odometer fraud in the second degree, a Class E felony in Missouri.7Missouri Revisor of Statutes. Missouri Code 407.521 – Odometer Fraud, Second Degree, Penalty Simply possessing a vehicle with a tampered odometer creates a legal presumption of intent to defraud, shifting the burden to the possessor to explain why the mileage was changed.
A Class E felony carries up to four years in prison.8Missouri Revisor of Statutes. Missouri Code 558.011 – Imprisonment Terms for Felonies Fines can reach $10,000.9Missouri State Senate. Senate Bill 491 Summary Providing a false statement on Form 3019 itself can also result in fines or imprisonment under both state and federal law. The header on the form says so plainly.