Date and Parties
Date: [[Date of Disclosure]]
SELLER
Full Legal Name: [[Seller Full Legal Name]]
Address: [[Seller Street Address]], [[Seller City]], UT [[Seller ZIP]]
Phone: [[Seller Phone]] Email: [[Seller Email]]
DL / ID: [[Seller DL Number]] State: [[Seller DL State]]
BUYER
Full Legal Name: [[Buyer Full Legal Name]]
Address: [[Buyer Street Address]], [[Buyer City]], [[Buyer State]] [[Buyer ZIP]]
Phone: [[Buyer Phone]] Email: [[Buyer Email]]
Vehicle Identification
| Field | Value |
|---|
| Year | [[Vehicle Year]] |
| Make | [[Vehicle Make]] |
| Model | [[Vehicle Model]] |
| VIN | [[VIN]] |
| Odometer | [[Odometer Reading]] |
| Title State | [[Title State]] |
Sale Terms and Condition
- The vehicle is sold in its present condition on an "AS-IS, WHERE-IS" basis.
- The Buyer acknowledges that the Buyer has had the opportunity to inspect the vehicle personally or through a mechanic of the Buyer's choice prior to purchase.
- The Seller makes no warranties or representations, express or implied, regarding the condition, merchantability, or fitness of the vehicle for any particular purpose, except as expressly set forth in a separate written document signed by Seller.
- The Buyer accepts the vehicle with all faults, known or unknown, and assumes all risk of loss, damage, or repair costs after the date of sale.
Known Defects and History Disclosure
Seller discloses the following known material defects, damage, or conditions (or states "None" if none known):
[[Detailed list of known defects, prior accidents, flood/salvage/rebuilt status, mechanical issues, body damage, rust, or "None"]]
Seller further states:
- The vehicle [[has / has not]] been declared a total loss or salvage by an insurance company.
- The vehicle [[has / has not]] sustained flood or water damage.
- The title [[is / is not]] a branded title (salvage, rebuilt, lemon, etc.). If yes, explain: [[Title Brand Explanation]]
Odometer Certification
The odometer reading of [[Odometer Reading]] miles is certified by the Seller as accurate to the best of Seller's knowledge. The odometer has not been altered. A separate federal Odometer Disclosure Statement is executed concurrently.
Additional Representations
- Seller is the lawful owner and has the right to sell the vehicle.
- There are no liens or encumbrances on the vehicle except: [[Lien Details or "None"]].
- All taxes, fees, and registration due up to the date of sale have been paid or will be handled as agreed.
Buyer Acknowledgment
Buyer acknowledges that Buyer has read this Disclosure, has had the opportunity to ask questions, has inspected the vehicle (or waived inspection), and accepts the vehicle AS-IS with the disclosures above. Buyer is not relying on any oral statements by Seller not contained in this Disclosure or the accompanying bill of sale.
Signatures
SELLER
Signature: _______________________________ Date: [[Date]]
Printed Name: [[Seller Full Legal Name]]
BUYER
Signature: _______________________________ Date: [[Date]]
Printed Name: [[Buyer Full Legal Name]]
Expanded Guidance
- Both parties should walk around the vehicle together and note any visible issues on this form or an attachment before signing.
- Recommend a pre-purchase inspection by an independent mechanic for higher-value vehicles or when any doubt exists.
- Retain a signed copy of this Disclosure with the bill of sale and title documents for at least five years.
- Utah buyers should verify current titling and tax requirements with the Utah DMV or county office.
- If the vehicle is being financed, provide a copy of this Disclosure to the lender.
- Disclose any modifications that affect safety or emissions compliance.
- For dealer sales, additional federal and state used-car disclosure rules (Buyer's Guide) may apply.
Sources and Disclaimer
This form supports vehicle transfers in Utah and incorporates federal odometer requirements. Utah follows general commercial law for "as-is" sales. Specific requirements for branded titles and disclosures are administered by the Utah Division of Motor Vehicles.
⚠️ Template example - not professional legal or financial advice. Verify all disclosures and requirements with the Utah DMV and current law as of June 2026. Replace all [[Merge Fields]] with accurate information.
As of: June 2026
## Additional Inspection and Disclosure Items
- Body and Paint: [[Describe any dents, scratches, rust, repainting, or bodywork]]
- Interior Condition: [[Describe wear on seats, carpets, headliner, dashboard cracks, odors]]
- Mechanical Systems: [[Engine, transmission, brakes, suspension, steering, A/C, heating status]]
- Electrical and Accessories: [[Lights, radio, power windows, locks, navigation, backup camera, etc.]]
- Tires and Wheels: [[Brand, tread depth remaining, age, spare tire condition]]
- Glass: [[Windshield chips/cracks, side/rear window condition]]
- Undercarriage: [[Rust, damage, leaks noted during inspection]]
- Previous Repairs or Recalls: [[List any major repairs or open recalls known to Seller]]
- Modifications: [[Aftermarket parts, lift kits, exhaust, stereo, tuning, or other changes]]
- Emissions / Safety Equipment: [[Status of catalytic converter, O2 sensors, airbags, seat belts]]
Buyer Inspection Acknowledgment
Buyer confirms that:
- Buyer has inspected the vehicle to Buyer's satisfaction or has chosen to waive a professional inspection.
- Buyer has reviewed the vehicle history report (if obtained) and any provided maintenance records.
- Buyer understands that no warranty of any kind is provided unless separately written and signed.
- Buyer is purchasing the vehicle for [[Personal Use / Business Use / Resale / Export]].
Seller's Additional Statements
- The vehicle has not been used as a taxi, police, or emergency vehicle unless disclosed: [[Disclosure or "None"]].
- The vehicle has not been used for commercial delivery or rideshare (Uber/Lyft etc.) unless disclosed.
- All required safety equipment is present and functional to the best of Seller's knowledge.
- The Seller has not received any written notice of safety defects or recalls that have not been addressed.
Recommended Pre-Transfer Steps
- Obtain an independent pre-purchase inspection from a Utah-licensed repair facility.
- Run a current vehicle history report through a reputable provider.
- Verify title status and any branding directly with the Utah DMV.
- Confirm that the VIN on the dashboard, door jamb, title, and this form match.
- Test drive the vehicle on varied roads if possible, checking for unusual noises, pulling, or vibrations.
- Check fluid levels, listen for unusual sounds on cold and hot starts.
- Review service records for timing belt/chain, transmission service, and major component replacement intervals.
- Confirm current registration and emissions compliance if required in the county of registration.
Record Retention
Both parties should retain signed copies of this Disclosure, the Bill of Sale, title, and odometer statement for a minimum of five years. These records are useful for tax reporting, warranty claims, future resale, and dispute resolution.
Sources and Expanded Disclaimer
This disclosure form is provided as a template for Utah vehicle sales and incorporates common best practices. Utah does not mandate a specific as-is disclosure form for private sales beyond general fraud and misrepresentation statutes. Federal odometer law applies uniformly.
Always cross-check with the Utah Division of Motor Vehicles (dmv.utah.gov) and current Utah Code for any additional requirements that may apply to your transaction, especially for branded, rebuilt, or salvage vehicles.
⚠️ Template example - not professional legal or financial advice. This document does not replace a professional inspection or legal counsel. Replace all [[Merge Fields]] with accurate facts. Verify disclosures, title status, and compliance with primary Utah sources as of June 2026 before completing the transfer.
As of: June 2026
