New Hampshire Code of Administrative Rules
Saf - Department of Safety
Subtitle Saf-C - Commissioner, Department of Safety
Chapter Saf-C 1900 - BUREAU OF TITLE AND ANTI-THEFT RULES
Part Saf-C 1903 - APPLICATION AND ISSUANCE OF TITLE
Section Saf-C 1903.05 - Odometer Disclosure Statement

(a) In the event an application for title or assignment of title does not contain the current odometer mileage reading or in the event a discrepancy is discovered, the seller shall complete an odometer disclosure statement, form TDMV 12, "Odometer Disclosure Statement", (rev. 03/23).

(b) By signing the form, the seller shall certify the odometer reading and whether the mileage is the actual mileage of the vehicle, or whether the mileage exceeds the odometer's mechanical limits, or whether the mileage is not the actual mileage of the vehicle.