Attachment 53-VEHICLE CHECKLIST (FORM FILL).pdf

VEHICLE STANDARD DESCRIPTION AND CHECKLIST

Plate # ______________________________________________ Barcode # __________________________

Manufacturer _____________________________________ Make _____________________________________________

Body Style ________________________________________ Model ____________________________________________

Year of Manufacture ________________ VIN ___________________________ Body Color ________________________

Manual or Automatic? _____________________ Tires (make/model) __________________________________________

No. of Doors __________ Fuel Type __________________ Number of Cylinders __________ GVWR _________________

Pickup Bed (narrow or wide) ______________________ Tonnage __________________ Feet Long _________________

Odometer Reading __________________________________: Is this actual mileage or an estimate? _________________

Please check or list all special features and accessories:

□ 4 x 4 □ Apple® CarPlay □ Hub Caps □ Power Liftgate □ Seat Warmers

□ 4 x 6 □ Auxiliary Gas Tanks □ Keyless Entry □ Power Locks □ Side Packs

□ 6 x 6 □ AWD □ Leather Interior □ Power Mirrors □ Sunroof

□ Air Conditioning □ Crew Cab □ Manuals □ Power Seats □ Third Row Seating

□ Airbags □ Cruise Control □ Microsoft® Sync □ Power Steering □ Tilt Steering

□ Alloy Wheels □ Dual Wheels □ Navigation □ Power Windows □ Towing Package

□ Anti-Lock Brakes □ Extended Cab □ Parking Assist □ Rear Defrost □ Utility Body

□ Anti-Theft □ Fabric Interior □ Power Brakes □ Rearview Camera □ Winch

List other vehicle features/accessories not listed above: _____________________________________________________

Please check/describe vehicle condition:

□ A/C Inoperable □ Exhaust System Problem □ Interior Leaks □ Tires Missing

□ Battery Dead/Missing □ Fire Damage □ Keys Missing □ Tires Worn

□ Belts Need Replacement □ Flat Tires □ Mechanical Problems □ Transmission Leaks

□ Body Damage, Dents □ Flood Damage □ Odometer Inoperable □ Transmission Repairs Needed

□ Body Damage, Rust □ Frame Damage □ Oil Change Needed □ Windows Cracked

□ Body Damage, Scratches □ Fuel Gauge Inoperable □ Oil Leaks □ Windows Inoperable

□ Brake Lights Inoperable □ Fuel System Problems □ Parking Lights Inoperable □ Windows Missing

□ Brakes Need Replacement □ Hazard Lights Inoperable □ Radiator Leak □ Wipers Inoperable

□ Bullet Holes □ Headlights Inoperable □ Speedometer Inoperable □ Won’t start

□ Electrical Problems □ Horn Inoperable □ Starter Inoperable

□ Engine Repairs Required □ Interior Damage □ Suspension Problems

Has the vehicle been in a major accident, had a major repair, or had an open recall? (Y/N): _________

If yes, please describe (and state if recall was fixed): ________________________________________________________

Describe any other vehicle deficiencies not listed above: ____________________________________________________

Please check the appropriate condition code:

□ 1 = New or Unused

□ 4 = Usable

□ 7 = Repairable (mechanical and/or accident repairs required)

□ S = Scrap (major mechanical or accident repairs required)

□ X = Salvage (not to be “titled” for highway use in its current condition)

Mechanic Signature______________________________

Supervisor Signature______________________________

KevinGMills Typewriter Does the vehicle start/run? (Y/N): ______