Depends on the DMV person. They can deny the MD title (altered), issue a VA title with a notation of "Odometer (not actual) 122,000", or just be reasonable and make a notation. They do need to document everything, so personally I would go on a weekday morning to the DMV with a smile and a photograph (digital camera + CVS $0.29 print) of the odometer because they need to scan in everything for archiving.