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    Prior to delivery of this vehicle, the followingchecks and inspections were performed.Any item(s) that did not pass the 172-point

    inspection have been replaced or repaired.

    Dealership Name: Dealership Code:

    Year/Make/Model: Color: Mileage:

    Stock Number: VIN: R.O. #

    1. Vehicle hiSTORY

    Passed Repaired Replaced N/A

    1. VIN Inspection

    2. Service Recalls (OASIS) Perormed

    3. Vehicle History Report Obtained

    4. Scheduled Maintenance Perormed

    5. Vehicle Emissions Sticker (Applicable States)

    3. Vehicle exTeRiOR

    Passed Repaired Replaced N/A

    3A BOdY PAnelS And BumPeRS

    23. No Evidence o Flood, Fire, Major or Hail Damage

    24. Body Panel Inspection

    25. Bumper/Fascia Inspection

    3B dOORS, hO Od, decKlid, TAilGATe

    26.Doors, Hood, Decklid/Tailgate and Roof Inspection

    27. Doors, Hood, Decklid/Tailgate Alignment

    28. Automatic/Manual Release Mechanisms,Hinges, Prop Rod/Gas Struts Operate Properly

    29. Power Ligate, Power-Sliding Door Operation

    3c GRille, TRim And ROOF RAcK

    30. Grille, Trim and Roo Rack Inspection

    31. Deployable Running Boards

    3d GlASS And OuTSide miRRORS

    32.Windshield, Side and Rear-Window Glass Inspection

    2. ROAd TeST

    Passed Repaired Replaced N/A

    6. Engine Starts and Idles Properly7. Remote Start System Operation

    8. Engine Accelerates and Cruises Properly/Smoothly

    9.Engine Noise Normal (Cold/Hot & High/Low Speeds)

    10.Auto/Manual Transmission/Transaxle Operation Cold and Hot Shi Quality

    11. Auto/Manual Transmission/Transaxle NoiseNormal Cold and Hot

    12. Shi Interlock Operates Properly

    13. Drive Axle/Transer Case Operation Noise Normal

    14. Clutch Operates Properly

    15.Steers Normally (Response, Centering and Free Play)

    16. Body and Suspension Squeaks and Rattles

    17. Struts/Shocks Operate Properly

    18. Brakes/ABS Operate Properly

    19. Cruise Control

    20. Gauges Operate Properly

    21. Driver Select/Memory Prole Systems

    22. No Abnormal Wind Noise

    3. Vehicle exTeRiOR ot

    Passed Repaired Replaced N/

    3d GlASS And OuTSide miRRORS

    33. Wiper Blade Replacement

    34. Outside Mirror Inspection

    3e exTeRiOR liGhTS

    35. Front-End Exterior Lights

    36. Back-End Exterior Lights

    37. Side Exterior Lights

    38. Hazard Lights

    39. Auto On/O Lighting

    40. Trailer Lamp Connector Operation

    4. Vehicle inTeRiOR

    Passed Repaired Replaced N/

    4A AiRBAG And SAFeTY BelTS

    41. Airbags

    42. Saety Belts

    4B AudiO And AlARm SYSTemS

    43. Radio, Cassette, CD and Speakers

    44. Antenna

    45. Alarm/The-Deterrent System

    46. Navigation System

    4c heAT/VenT/Ac/deFOG/deFROST

    47. Air Conditioning System

    48. Heating System

    49. Deog/Derost

    4d inTeRiOR AmeniTieS

    50. Clock

    51. Tilt/Telescopic Steering Wheel

    52. Steering Column Lock

    53. Steering Wheel Controls

    54. Horn

    55. Warning Chimes56. Instrument Panel and Warning Lights

    57. Wipers

    58. Washers

    59. Interior Courtesy, Dome and Map Lights

    60. Manual Outside Rearview Mirrors, PowerOutside Rearview Mirrors and Auto-dimmingRearview Mirror

    61. BLIS (Blind Spot Inormation System)

    62. Rear View Camera

    63. SYNC System

    64. MyFord Touch

    65. Active Park Assist

    FCPO-INSP

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    Original: Owner Copy 1: Dealer Copy 2: Service Dept.

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    4. Vehicle inTeRiOR ot

    Passed Repaired Replaced N/A

    4d inTeRiOR AmeniTieS

    66. Rear Entertainment System67. Power Outlets and Lighter

    68. Ashtrays

    69. Glove Box and Center Armrest/Console

    70. Sun Visors, Vanity Mirror and Light

    71. Adjustable Pedals (i equipped)

    4e cARPeT, TRim And mATS

    72. Interior Odor-Free

    73. Carpet

    74. Floor Mats

    75. Door Trim and Door Panels

    76. Headliner

    4F SeATS

    77. Seat Upholstery

    78. Seat and Head Restraint Adjustment

    79. Folding Seats

    80. Heated Seats

    81. Integrated Child Saety Seats

    4G SunROOF/mOOnROOF/cOnVeRTiBle TOP

    82. Sunroo/Moonroo

    83. Convertible Top

    4h WindOWS And dOOR lOcKS

    84. Door Handles and Release Mechanisms

    85.Remote Entry System and Push-Button Start System

    86. Door Locks

    87. Child Saety Locks

    88. Window Controls

    89. Remote Decklid and Fuel Filler Door Release

    4i luGGAGe cOmPARTmenT

    90. Carpet, Trim and Cargo Net

    91. Luggage Compartment/Cargo Area Light

    92. Vehicle Jack and Tool Kit

    93. Spare Tire Size/Type and Sidewall Inspection

    94. Spare Tire Tread Depth/Air Pressure Inspection

    95. Tire Infator Kit

    96. Emergency Trunk-Lid Release

    5. Vehicle diAGnOSTicS

    Passed Repaired Replaced N/A

    5A mOdule SYSTem TeST

    97. Perorm Sel-Test or all CMDTCs

    6. undeRhOOd

    Passed Repaired Replaced N/

    6A FluidS

    98. Engine Oil/Filter Change and Chassis Lube99. Coolant

    100. Brake Fluid

    101. Automatic Transaxle/Transmission Fluid

    102. Transer Case Fluid

    103. Drive Axle Fluid

    104. Power Steering Fluid

    105. Manual Transaxle/Transmission HydraulicClutch Fluid

    106. Washer Fluid

    107. Air Conditioning System Charge

    6B enGine

    108. Fluid Leaks

    109. Hoses, Lines and Fittings

    110. Belts

    111. Wiring

    112. Oil in Air Cleaner Housing

    113. Water, Sludge or Engine Coolant in Oil

    114. Oil Pressure

    115. Relative Cylinder Compression Test/PowerBalance Readings (check i necessar y)

    116. Timing Belt

    117. Engine Mounts

    118. Inspect Turbocharger Air Cooler

    6c cOOlinG SYSTem

    119. Radiator

    120. Pressure-Test Radiator Cap and Radiator

    121. Cooling Fans, Clutches and Motors

    122. Water Pump

    123. Coolant Recovery Tank

    124. Cabin Air Filter

    6d Fuel SYSTem

    125. Fuel Pump Noise Normal

    126. Fuel Pump Pressure

    127. Fuel Filter

    128. Engine Air Filter

    6e elecTRicAl SYSTem

    129. Starter Operation

    130. Ignition System

    131. Battery

    132. Alternator Output

    133. Diesel Glow Plug System

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    FCPO-INSPOriginal: Owner Copy 1: Dealer Copy 2: Service Dept.

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    8. undeRBOdY cot

    Passed Repaired Replaced N/

    8e BRAKeS

    163. Calipers and Wheel Cylinders164. Brake Pads and Shoes

    165. Rotors and Drums

    166. Brake Lines, Hoses and Fittings

    167. Parking Brake

    168. Master Cylinder and Booster8. undeRBOdY

    Passed Repaired Replaced N/A

    8A FRAme

    138. Frame Damage

    139. Fuel Supply System

    8B exhAuST SYSTem

    140. Exhaust System Condition

    141. Emissions Control Test

    8c TRAnSmiSSiOn, TRAnSAxle,diFFeRenTiAl And TRAnSFeR cASe

    142. Automatic Transmission/Transaxle

    143. Manual Transmission/Transaxle, Dierentialand Transer Case

    144. 4x4 Hub Operation

    145. Universal Joints, CV Joints and CV Joint Boots

    146. Transmission Mounts (not cracked, broken oroil soaked)

    147. Dierential/Drive Axle

    8d TiReS And WheelS

    148. Tires and Wheels Match and Are Correct Size

    149. Tire Tread Depth

    150. Normal Tire Wear

    151. Tire Pressure

    152. Tire Pressure Monitoring System

    153. Wheels

    154. Wheel Covers and Center Caps

    155. Rack-and-Pinion, Linkage and Boot s

    156. Control Arms, Bushings and Ball Joints

    157. Tie-Rods and Idler Arm

    158. Sway Bars, Links and Bushings

    159. Springs

    160. Struts and Shocks

    161. Wheel Alignment (check i necessary)

    162. Power Steering Pump

    9. cOnVenience

    Passed Repaired Replaced N/

    169. Owners Guide

    170. Keys and Remote Controls

    171. Universal Transmitter (Garage Door Opene r)

    172. Full Fuel Level

    7. hYBRid

    Passed Repaired Replaced N/A

    134. Hybrid Cooling System

    135. Switchable Powertrain Mount136. Hybrid Entertainment and Inormation Display

    137. 110V Power Outlet

    For V ispto ck

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    FCPO-INSP

    VIN

    Technician Signature DatI certiy that all mechanical items have been inspected.

    Service Manager Signature Dat

    I certiy that all mechanical and appearance standards have been met.

    Certied Pre-Owned Vehicle Manager Dat

    I certiy that all mechanical and appearance standards have been met.

    Original: Owner Copy 1: Dealer Copy 2: Service Dept.

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    For V ispto ck

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    FCPO-INSPOriginal: Owner Copy 1: Dealer Copy 2: Service Dept.