85
Mo. Day Yr.
VW Chassis Number
Last Name
First Name Initial
Street
Number
City
State
Please print and give complete information.
Zip Code
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NOTICE OF USED CAR PURCHASE
NOTICE OF ADDRESS CHANGE
Windshield wiper blades
Hub caps
Outside mirror
A. Install following items
Battery electrolyte level, check
Engine starting, check
B. Preparatory Services
Door lock functioning, check
Seat operation and adjustments, check
Safety belts, locking mechanisms, retractors,
warning light and buzzer alarm, check
Ignition lock and buzzer alarm, check
C. Operation and safety items
Check operation of:
Headlights, dimmer switch, parking lights,
stop lights, turn signals, tail lights,
side marker lights, license plate light,
back-up lights, horn, windshield wiper and
washer, rear window defogger, emergency
flasher and brake warning light
Headlights, check adjustment
Wheel nuts, check torque
Cotter pins for rear exhaust, visually check for
correct installation
Checklist for
(Chassis number)
New Vehicle Delivery Inspection
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