By Tobin Copley and Christa Ovenell, for the air-cooled Volkswagen bus mailing list and web site at http://www.type2.com. This checklist is designed primarily for 1968-79 Volkswagen Westfalia campers, but should have application for other vehicles as well. I have also added some Vanagon specific updated (Admin 2017).

This checklist adapted from the “Used car buyer’s guide” published on the internet by Scions of Lucas (SOL), (c) 1991. Permission to freely copy and distribute all or portion of this checklist is hereby granted provided that all of the following apply: it is not made part of another copyrighted work, the source is acknowledged, this copyright notice is retained, and no aspect of the distribution is for profit.

Original work by SOL based on a guide written by Lawrence Buja & Roger Garnett

PART 1. MECHANICAL INSPECTION CHECKLIST.
— FIRST PHONE CONTACT:

Name: ______________________________________ [affix original ad here]
Address: ______________________________________

Phone: (h) ______________ (w) ______________

Date/Time: ______________________________________
1. Can you describe the car and its condition?
2. Does it run well?
3. How is the:
Body?
Any Rust? Ask specifically:
– under windshield?
– under battery tray(s)?
– wheel wells, esp. behind front wheels & in front of rear wheels?
– rocker panels?
Paint? (original? repainted?–why?)
Interior?
Tires?
Engine?
Head gaskets?
Brakes?
Shocks?
4. If it is a camper, is it a Westfalia or some other conversion
company?
5. What special features or options does it have?
6. Why are you selling it?
7. How long have you owned it? …had it for sale?
8. Is it currently registered and licensed?
9. Where is the car located?
10. How many miles does it have on it? [15K/yr?]
11. What problems have you had with the car?
12. Has it ever been hit or in an accident?
13. What work does it need done on it now?
14. How much are you asking for it? or What’s the least you’re willing
to take for it?

—QUESTIONS TO ASK YOURSELF:
Why am I buying this car?
What do I intend to do with it?
Will it be my commute vehicle?
What service and support is locally available?
Will I be driving it year-round or summer only?
Do I want to work on the car more than driving it?
Am I willing to pay a premium because someone else has already done most
of the serious work on the car?
What is the most that I’m willing to pay for this car?
What is the least that I think that the car can be had for?

— SUGGESTIONS:
1. Ask the seller if you can have the van inspected by a competent VW shop before you purchase it. A pre-purchase inspection should be paid for by you, but is cheap insurance against hidden issues. Buying a van sight unseen over the internet with no inspection (I am looking at you Ebay) is highly discouraged.

2. Always inspect/take delivery of the vehicle in the broad daylight,
never in the evening/night or in the rain.

3. Arrange to inspect the bus at a time when the engine will be stone
cold so you can check valve clearances if necessary and cold-starting
ability.

4. A clean piece of cardboard placed under the engine/trans after the
test-drive will help show fluid leaks.

5. In some states, older non-titled vehicles may be titled with just a
bill of sale. Other states may require an additional security bond to
be posted. Use extreme caution in either of these cases!

6. Require seller have the vehicle pass all state inspections (safety,
emissions) at a mutually agreeable shop (NOT one of his choosing)
before you pay for it. Old (>30days) inspections are of absolutely no use to
you.

7. A general guide to reading exhaust smoke:
Black smoke = unburned fuel
Valves bad or out of adjustment? Carb out of adjustment?
Blue smoke = burning oil
Accelerating: Piston rings bad? Decelerating: Valve seats/guides bad?
8. Get the VIN and get a Carfax before seriously considering a purchase as this should give you peace of mind that the van was never wrecked.

— TOOLS TO BRING FOR INSPECTION: (Allow 2-3 hours for the inspection)

Essentials: A cynical, mechanically-minded friend, Your standard tool
set plus 17mm allen key (or one made of 10mm bolt and 2 nuts),
Voltmeter, Compression Gauge, Tire gauge, Flashlight, Magnet, the 2 different spark
plug sockets, spray lube, clean rags Clipboard, pen and hi-liter to use
with a photocopy of this list, some cash, drivers license and copy of your
insurance showing you are covered driving the sellers car.

Optional: tow rope, starting fluid, jumper cables, timing light, ramps,
jack (floor or scissors), mirror, coveralls, rags, gas can, oil, duct
tape, wire, repair manuals, misc. fuses, calculator

— ADDITIONAL POST-CHECKLIST QUESTIONS:

Original Owner? ___________________________________________________
Carfax Report Results?_____________________________________________
Pre-purchase inspection report results?____________________________
Names/names of previous owners available? _____________________
What regular maintenance was done? Records? ______________________
When were the head gaskets replaced?______________________________
Who was your mechanic? name/address/phone? _______________________
What gas mileage have you been getting? ___________________________
Are there any repair or gas mileage records? ______________________
Oil change interval? ______________________________________________
Type of oil used? ____________________________________________
How old are the tires? ____________________________________________
Battery? _____________________________________________________
Has it passed emissions recently? _________________________________
Where? _______________________________________________________
Has any bodywork ever been done? __________________________________
Why? _________________________________________________________
Receipts? ____________________________________________________
Any mechanical work recently? _____________________________________
Where? _______________________________________________________
Receipts? ____________________________________________________
What work remains to be done or corrected? ________________________
Are there any missing parts? ______________________________________
Do you have any extra parts or wheels for it? _____________________
What new/aftermarket parts are in the car? ________________________
Receipts? ____________________________________________________
Was it ever used for towing? ______________________________________
Has it ever been crashed, burnt, stolen, hit or rolled? ___________
How was the car generally driven? _________________________________
On highway or in town? _______________________________________
Are the engine, transmission, steering, differential original? ____
(If not, why not? Origin and receipts?) _____________________
Do you have any books about the car or the engine? ________________
(repair books, owners manuals, history or general
interest, parts catalogs, club newsletters)
Any interesting history? __________________________________________
Has it ever been raced? ______________________________________
Are there any tools that come with the car? _______________________
Do you know of any parts cars or good parts sources? ______________

PART 2. EXTERIOR AND INTERIOR INSPECTION. (Don’t start the engine yet)

—OWNERSHIP VERIFICATION: (Do all of the following agree and seem right?)

Name on title: ____________________________________________________
Name on registration: _____________________________________________
Model/Year on title: ______________________________________________
VIN on title: _____________________________________________________
VIN on registration: ______________________________________________
VIN on dash: ______________________________________________________
VIN on door: ______________________________________________________
Mileage on title: _________________________________________________
Mileage on odometer: ______________________________________________
Price on title: ___________________________________________________
Asking price: _____________________________________________________
Blue Book price: __________________________________________________

—IS THE CAR READY TO SELL:

OK Not-OK
___ _____ Title ready for transfer? Any liens?
___ _____ Do body numbers match those on title?
___ _____ Title in sellers name?
___ _____ Do body numbers match registration?
___ _____ Current Emissions certificate, < 30 days old?

___ _____ Current registration?

___ ______Current Plates?

___ _____ Current Safety certificate if req’d, <30days?

—EXTERIOR WALK-AROUND:

OK Not-OK

___ _____ Check door edges and underside for rust/tears

___ _____ Check doors/hinges for stress/tears

___ _____ Doors/hoods open/close freely? Rubs?

___ _____ Driver’s door / passenger door / sliding door / rear hatch / engine

___ _____ hatch

___ _____ Is anything obviously broken?

___ _____ Are lights cracked, dented or broken?

___ _____ Car sits level? (view from all sides)

___ _____ Are bumpers dinged? Rusty? Loose? Level?

___ _____ Rear bumper sooty or oily?

___ _____ Paint OK? All panels same shade? Cracks? Over spray?

___ _____ Any of the trim or hubcaps rusty or missing?

___ _____ New paint? Why? Any body ripples?

___ _____ Find bottom of trunk/side wells. Rust? Holes?

___ _____ Rust/repair on body? Fenders? Sills?

___ _____ Any Bondo? Fiberglas? (magnet) Why?

___ _____ Lift rubber mat in front door step. Rusty? Holes?

___ _____ Rubber parts and seals condition? Cracked?

___ _____ Any fender dings or misalignment? Why?

___ _____ Gas tank & fill hose OK? Gas smell?

___ _____ Door/engine hatch dings? Misalignment? Why?

___ _____ Jack in bus? OK? Spare tire good? Pressure? Jack points good?

___ _____ Have jack? works? Bilstein jack fits in all four jack points?

___ _____ Tires: Tread? Bulges? Cracks? (Check from under bus too)

___ _____ Tires all the same model/brand? LT / “C” rated tires?

___ _____ Rims: Bent? Rusted? Cracks? All the same?

—UNDERSIDE: GET UNDER THE BUS. (USE MAGNET EXTENSIVELY THROUGH THIS SECTION!) A POWERFUL FLASHLIGHT IS INVALUABLE HERE USE A LARGE SCREWDRIVER TO TEST FOR RUST OR WEAK METAL. Start at front of bus and work back.

OK Not-OK

___ _____ Brake disks grooved? Brake pads? Any leaks?

___ _____ Rubber brake lines OK? None brittle, cracked, etc.?

___ _____ Ball joint boots intact (upper & lower, check carefully)?

___ _____ Tie rods straight? Tie rod end boots intact?

___ _____ Look at underside of front door steps,

___ _____ Any under body/floor pan rust?

___ _____ Any rocker panel or wheel well rust?

___ ______Check particularly in entire vertical area immediately behind each front wheel. Pay special attention to inside of rocker panels, sliding door track.

___ _____ Are main frame members rusted? Dogs? Jack points?

___ _____ Is heater hose from heater boxes in place and intact? (Air Cooled only) ___ _____ Is there a underbelly gas heater (Eberspacher BA-6)?

___ _____ Cap from Westy sink drain in place?

___ _____ Anything dented? Bent? Welded? Why?

___ _____ Any evidence of ground clearance damage?

___ _____ Shift rod straight, linkage good?

___ _____ Shift linkage boots in good condition?

___ _____ Any leaks from transmission or differential?

___ _____ Use 17mm allen key to undo transmission fill plug and check fluid level ___ _____ Check for rust: rear frame members, jack points, wheel wells

___ _____ Check fuel lines under bus. All OK, no cracking, no wet

___ _____ connections?

___ _____ Fuel pump secure, no leaking anywhere?

___ _____ Turn, push/pull driveshaft by hand

___ _____ Any movement or slop? Shafts should move smoothly in/out, but not rotate  (try to turn them like you are revving a motorcycle, should have very little to no play)

___ _____ Constant velocity joint boots OK?

___ _____ (check all the way around, all four joints)

___ _____ Any oil leaks from engine? Where? _______________________________

___ _____ All lower engine tin in place?

___ _____ If engine tin oily, remove tin, search for probable source of leaking. Most likely source is push-rod tube seals, but check if leaking where cylinder mates with case. (Air Cooled only)

___ _____ Condition of heater boxes? Exhaust parts? Rusty? Solid & original?

___ _____ Patched/hacked? Properly aligned? Muffler dented?

___ _____ Look for rust under battery tray(s).

___ _____ Tire wear even?

___ _____ All shocks & struts damp OK? Any leaks? Creaks or squeaks?

___ _____ Tail pipe: Grey=OK, sooty/oily/greasy=Not-OK

___ _____ Anything hanging down, taped or wired up?

___ _____ Any non-stock suspension mods?

___ _____ Suspension loose? Jack up each wheel in turn.

___ _____ Pull on side/top of wheels (9 & 3 o’clock, 12 & 6)

—UNDER ENGINE COVER: OK Not-OK

___ _____ Anything broken? Patched? Leaking?

___ _____ Is engine clean? Any rust? Stock?

___ _____ All engine compartment seals in place? No light showing through from underneath (Air Cooled Only)

___ _____ seals?

___ _____ Has it overheated? Paint blistered?

___ _____ Check oil level. Look for oil leaks visible in engine compartment.

___ _____ Any play in main crankshaft pulley?!

___ _____ Any play in any of the other pulleys?

___ _____ Belts cracked? frayed? missing?

___ _____ Heater hoses OK? Hoses stiff? Cracked? Patched? (Air Cooled only)

___ _____ Vacuum hoses stiff? Patched? Capped? Missing?

___ _____ Fuel lines stiff? cracked? wet? (!)

___ _____ Is emissions equip original & working?!

___ _____ Are catalytic converters original & working?

___ _____ Distributor, cap, rotor, and points OK? Check ignition wires.

___ _____ Wiring harness appearance? Any new electrical tape?

___ _____ Any non-stock engine modifications? What?

___ _____ Remove grounding cable, check for shorts.

___ _____ Battery age/voltage ______/_____ volts

—INTERIOR/ELECTRICAL: OK Not-OK

___ _____ Is anything broken? Torn? Patched?

___ _____ Open fuse box. Any missing? Any wiring hacks?

___ _____ Headliner OK? Gashes, mold, warping, screws missing?

___ _____ Carpets OK? Underlayment condition?

___ _____ Rubber covering over front seat risers OK?

___ _____ Check for rust under mat at front seat belt anchor points

___ _____ (remove 17mm bolt to check). Check rear belt anchor points

___ _____ over wheel well. (Both are very common–and hidden–rust spots)

___ _____ Rust, rot or water under the carpets?

___ _____ Any wiring hacks under the dash?

___ _____ Seats dirty or torn? Look under cover. Springs look broken?

___ _____ Do both seats adjust?

___ _____ Dash cracked?

___ _____ Windshield cracked? Chips? Scratched? Delaminating?

___ _____ Windows all open & close? Any cracks? Remember rear vent window! ___ _____ Mirrors all present and adjustable?

___ _____ Steering play? Does shaft move at all? Why?

___ _____ Brake pedal feels right? Smooth? Firm?

___ _____ Clutch pedal feels right? Smooth?

___ _____ All gauges/controls work? Stereo? Tape?

___ _____ Headlights high/low work? Lenses OK?

___ _____ Tail and side lights all work? Lenses OK?

___ _____ Brake lights all work? Any broken lenses?

___ _____ Turn signals all work? Any broken lenses?

___ _____ Windshield wipers & washer work?

___ _____ Heater, defroster, and fans work?

(CAMPER ONLY):

___ _____ All cabinetry in good condition? All doors/drawers lock closed securely? ___ _____ Wardrobe closet mirror in place and OK?

___ _____ Lower bed folds down OK? Cushion smooth?

___ _____ Upper bed folds down OK? Cushion smooth?

___ _____ Camping lights work?

___ _____ Dual batteries in place and OK? Isolator in place and working?

___ _____ Shore power hook-up works? A/C inverter OK? (If you have one)

___ _____ Propane tank OK? (look for rust, dents, corroded/bent valves)

___ _____ Front seat swivels OK?

___ _____ Front curtain accounted for? All snaps in place? Tears, rips?

___ _____ Check all other curtains. All there? Snaps all work? Tears, rips?

___ _____ Rear bug screen?

___ _____ Sliding door runs smoothly? Latches/unlatches OK?

___ _____ Side windows open/close/seal? Bug screens OK?

___ _____ Stove works? Test all burners, both high and low flame

___ _____ Stove pilot light starter and propane shut-off OK?

___ _____ Icebox/fridge OK? Check for cracks. Fridge cools on AC, DC, propane?

___ _____ Gas or propane heater installed? Works?

___ _____ CO2 detector installed/working?

___ _____ Sink pump works? City water connection works?

___ _____ Cabinetry to protectsink pump in place?

___ _____ Pop-top seals all good?

___ _____ Pop-top fiberglass OK? No cracks/leaks? Top sits level?

___ _____ Luggage rack tie-downs all in place and secure?

___ _____ Luggage rack bucket OK without cracks or warping?

___ _____ Pop-top opens OK? Latch releases smoothly and securely?

___ _____ Pop-top canvas in good condition? No tears, wear-thru spots or hacked patches? Canvas tight all the way around?

___ _____ Pop-top window covers OK? Zipper intact and runs OK?

___ _____ Pop-top bug screens OK? Zipper intact and runs OK?

___ _____ Pop-top canvas gasket where meets body tight and in good

___ _____ condition?

___ _____ Pop-top closes OK? Latch catches smoothly and securely?

___ _____ Safety equipment (seat belts, horn work?)

___ _____ Fire extinguisher(s) in place and properly charged?

___ _____ Rear Westfalia table (dining table) in place and in good condition?

___ _____ Rear Westfalia table leg in place? Table assembles securely?

___ _____ Front Westfalia table (for between front seats) accounted for and in good condition? Table leg for this table accounted for?

___ _____ Table assembles securely?

PART 3: ENGINE START-UP, RUNNING, AND TEST DRIVE. —IGNITION ON, BUT DON’T START ENGINE: OK Not-OK

___ _____ Coolant Temp light should come on, blink, and go out! Connected?

___ _____ Oil warning light should come on! Connected?

___ _____ Charge warning light should come on!

—START THE ENGINE YOURSELF: OK Not-OK

___ _____ Oil warning light goes out?

___ _____ Charge warning light goes out?

___ _____ Do all idiot lights go on/out right?

___ _____ Are all the instruments working?

___ _____ Does it start easily when cold?

___ _____ Does it run smoothly when cold?

___ _____ Depress clutch several times. Noises?

___ _____ Oil Pressure: idle_______ 4000 RPM_______

___ _____ Volts/Amps: idle_______ 4000 RPM_______

___ _____ Any odd engine noises when cold?

___ _____ Exhaust condition/noises? Pressure even?

___ _____ Cap pipe with clipboard. Any exhaust leaks?

___ _____ Any deposits on clipboard? Does it smoke?

___ _____ Turn car off. Does it restart? Restart again.

___ _____ Now pull forward. Check for leaks on ground.

___ _____ Do you have any gas? Does gauge really work?

—TEST DRIVE (Allow 30-40 minutes) OK Not-OK

___ _____ Test the foot and hand brakes first!

___ _____ Relax, drive a bit to get used to it.

___ _____ How does car ride? Soft or hard?

___ _____ Revs smoothly to red line? flat spots?

___ _____ Any unusual engine noises/vibrations?

___ _____ Any drive train noises or vibrations?

___ _____ Any noticeable slop in drive train?

___ _____ Reverse works? Rev.lights go on/off?

___ _____ Trans shifts smoothly to all gears?

___ _____ Any clunks, whines, rumbles, rattles?

___ _____ Clutch smooth? Slippage on hill test?

___ _____ Hand brake works? Test against engine

___ _____ Is the low engine speed operation OK?

___ _____ Brakes strongly to stop from 50mph?

___ _____ Do brakes still work? Stops straight?

___ _____ Make 2 tight 360′ turns each way. Any noises?

___ _____ Accelerates smoothly from dead stop?

___ _____ Are there any hesitations/flat spots?

___ _____ Does the power seem right? Hill test.

___ _____ Is it running too hot or cold? Why?

___ _____ Drive beside a long wall. Any unusual sounds?

___ _____ Is it too noisy in general at highway speeds?

___ _____ Any noises or vibrations when accelerating?

___ _____ Any noises or vibrations when coasting?

___ _____ Any noises or vibrations when decelerating?

___ _____ Any noises or vibrations when braking?

___ _____ (Do each of these two or three times) Accelerate to 10 MPH in first, let off gas sharply: pops out of gear?

___ _____ Accelerate to 20 MPH in second, let off gas sharply: pops out of  gear?

___ _____ Accelerate to 35 MPH in third, let off gas sharply: pops out of gear?

___ _____ Accelerate to 50 MPH in fourth, let off gas sharply: pops out of  gear?

___ _____ Accelerate in reverse, let off gas sharply: pops out of gear?

___ _____ Any noises or vibrations when braking?

___ _____ Steering action loose or tight? Parallel park.

___ _____ Handles OK on bumps, curves and sharp corners?

___ _____ Tracks straight with hands off steering wheel?

___ _____ Brakes straight with hands off steering wheel?

___ _____ Brakes still work? Pulls? Pulse? Drag? Noises?

___ _____ Having fun yet? Comfortable? Does it fit?

___ _____ Do the heater, defroster and AC work right?

___ _____ Are all the instruments & lights still working?

___ _____ Now let it idle a while. Is temp stable/OK?

___ _____ Any exhaust, gas or other odors? Pull forward.

___ _____ Turn it off. Go back to check ground for leaks.

Have friend get out and watch the car driving: OK Not-OK

___ _____ Tracks straight? (Frame bent?)

___ _____ Smokes?

___ _____ Wheels wobble? Any noises?

___ _____ Leans? General impression?

—POST DRIVE: OK Not-OK

___ _____ Open hood. See or hear anything unusual?

___ _____ Does engine seem too hot?

___ _____ Check for fluid leaks after shutdown. (Oil, Trans, Fuel, Differential)

___ _____ Check oil cap and dipstick for signs of water. (Oil off-color, brown/grey/white or bubbly)

___ _____ Compression test: (disconnect coil, remove ALL plugs)

___ _____ 1. Dry: 1____ 2____ 3____ 4____

___ _____ 2. Oiled: 1____ 2____ 3____ 4____

___ _____ Plug condition? (OK? Burnt? Oily? Sooty?)

___ _____ 1____ 2____ 3____ 4____

___ _____ Does it restart when warm? Why not?

COMMENTS: BILL OF SALE (buyer’s copy) Year, make, and model: ____________________________________________

VIN: ______________________________________________________________

Odometer reading: _________________________________________________

Date and time of sale: ____________________ ____________________

Seller hereby acknowledges receipt of $______________ in the form of _____________ for full and final payment for the above vehicle, which is sold “AS IS.” I, the seller, certify that I or we are the current owner of this vehicle, and have the authority to sell it. I hereby transfer full ownership of this vehicle described on this receipt to the buyer(s). I certify that the Title or ownership of this vehicle at the time of sale is subject to no outstanding taxes, fees, liens or encumbrances, other than those specified on the Title or listed below, if any, and none other, and that if there are, the seller will be held fully responsible for their payment. Buyer(s) hereby acknowledges receipt of the following: the signed certificate of ownership transferring seller’s full ownership of the vehicle and all of it’s contents to the buyer; various maintenance records; this signed bill of sale and the mileage disclosure statement; and all keys to the vehicle as well as delivery of the vehicle. ________________________________ ________________________________

(seller 1’s signature) (date) (buyer 1’s signature) (date) ________________________________ ________________________________

(seller 2’s signature) (date) (buyer 1’s signature) (date) Seller: _______________________

Buyer: _______________________ address: ______________________

address: _______________________

phone: _______________________

phone: _______________________

BILL OF SALE (seller’s copy) Year, make, and model: ____________________________________________

VIN: ______________________________________________________________

Odometer reading: _________________________________________________

Date and time of sale: ____________________ ____________________

Seller hereby acknowledges receipt of $______________ in the form of ______________ for full and final payment for the above vehicle, which is sold “AS IS”. I, the seller, certify that I or we are the current owner of this vehicle, and have the authority to sell it. I hereby transfer full ownership of this vehicle described on this receipt to the buyer(s). I certify that the Title or ownership of this vehicle at the time of sale is subject to no outstanding taxes, fees, liens or encumbrances, other than those specified on the Title or listed below, if any, and none other, and that if there are, the seller will be held fully responsible for their payment. Buyer(s) hereby acknowledges receipt of the following: the signed certificate of ownership transferring seller’s full ownership of the vehicle and all of it’s contents to the buyer; this signed bill of sale and all keys to the vehicle as well as delivery of the vehicle. ________________________________ ________________________________

(seller 1’s signature) (date) (buyer 1’s signature) (date) ________________________________ ________________________________

(seller 2’s signature) (date) (buyer 1’s signature) (date) Seller: _______________________ Buyer: _______________________

address: _______________________address: _______________________

phone: _______________________ phone: _______________________

ODOMETER (MILEAGE) STATEMENT (Federal regulations require you to state the odometer mileage upon transfer of ownership. An inaccurate or untruthful statement may make you liable for damages to your transferee, for attorney fees, and for civil or criminal penalties, pursuant to Sections 409, 412, and 413 of the Motor Vehicle Information and Cost Savings Act of 1972 (Pub. L. 92-513, as amended by Pub. L. 94-364) and applicable state laws.) I, the seller __________________________, state that the odometer mileage on the vehicle described below now reads __________________ miles/kilometers. Circle ONE only: (1) I hereby certify that to the best of my knowledge the odometer reading as stated above reflects the actual mileage of the vehicle described below. (2) I hereby certify that to the best of my knowledge the odometer reading as stated above reflects the amount of mileage in excess of designed mechanical odometer limit of 99,999 miles/kilometers of the vehicle described below. (3) I hereby certify that to the best of my knowledge the odometer reading as stated above is NOT the actual mileage of vehicle described below and should not be relied upon.

___________________________ ____________________________ _________ |Make |Model |Body Type

_____________________________ _______________ _____________ |Vehicle Identification No |Year |Dealer Stock No. Circle ONE only: (1) I hereby certify that the odometer of said vehicle was not altered, set back, or disconnected while in my possession, and I have no knowledge of anyone doing so. (2) I hereby certify that the odometer was altered for repair or replacement purposes while in my possession, and that the mileage registered on the repaired or replacement odometer was identical to that before such service. (3) I hereby certify that the repaired or replacement odometer was incapable of registering the same mileage, that it was reset to zero, and that the mileage on the original odometer or the odometer before repair was ________________ miles/kilometers. ________________________________ __________________________________

(seller 1’s signature) (date) (buyer 1’s signature) (date) ________________________________ __________________________________

(seller 2’s signature) (date) (buyer 1’s signature) (date) Seller: Buyer: phone: phone: address: address: —————————— —————————————————————————- Tobin T. Copley, M.A. tobin.copley@ubc.ca

B.C. Centre for Excellence in HIV/AIDS & UBC Voice:(604) 822-6219
Dept. of Health Care & Epidemiology UBC Fax:(604) 822-4994
University of British Columbia St Paul’s Hospital voice:(604) 631-5753
Vancouver, B.C. Canada http://cfeweb.hivnet.ubc.ca/chrp/

Updated by Vanagon.com Admin in 2017.  Suggestions to make this list better are welcomed!