Federal law and Ohio law requires that you state the mileage upon transfer of ownership.  Failure to complete or provide a false statement may result in fines and / or imprisonment.

I, __________________________________________ (transferor's or seller's name, Print) state that the odometer now reads ___________________ (no tenths) miles and to the best of my knowledge that it reflects the actual mileage of the vehicle described below, unless one of the following statements is checked.
(1) I hereby certify that to the best of my knowledge the odometer reading reflects the amount of mileage in excess of its mechanical limits.
(2) I hereby certify that the odometer reading is NOT the actual mileage.
WARNING - ODOMETER DISCREPANCY.

X ___________________________________________________
  TRANSFEROR'S SIGNATURE (SELLER)
____________________________________________________
  PRINTED NAME
____________________________________________________
  TRANSFEROR'S ADDRESS (STREET - SELLER)
____________________________________________________
  CITY                                                        STATE                                     ZIP CODE
____________________________________________________
  DATE
X ___________________________________________________
  TRANSFEREE'S SIGNATURE (BUYER)
____________________________________________________
  PRINTED NAME
____________________________________________________
  TRANSFEREE'S ADDRESS (STREET - BUYER)
____________________________________________________
  CITY                                                        STATE                                     ZIP CODE

Trumbull County Title Dept. Web Form