Information
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Conducted on
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Prepared by
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Prepared on
Section 1 - Details
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Vehicle Make and Model
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License Plate
Section 2 - Vehicle Condition
Tires / Wheels
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2.1 Tire Condition
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2.2 Spare Tire
Engine Compartment
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2.3 Check Engine Light
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2.4 Wiper Fluid
Cab / Operation
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2.5 Headlights
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2.6 Turn Signals
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2.7 Brake Lights
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2.8 Windshield
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2.9 Rear View Mirror
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2.10 Side Mirrors
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2.11 Cleanliness / Odor-free
External Bodywork
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List any Damage and add photographic Evidence to support
External Bodywork
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Description of Damage
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Photographic evidence
Section 3 - Documentation
Documents
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3.1 Driver’s License
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3.2 Vehicle Registration
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3.3 Driver’s Insurance