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Modified Car Report Sample
1934 Ford Coupe
PHOTOGRAPHS
1934 Ford Coupe
VIN:
NOT SEEN
Engine #:
N/A
Mileage:
2,385
Paint Color:
Champagne / Red
Trim Color:
Tan
ENTRY SYSTEM
Are there door handles?
Yes
No
Not Checked
See Notes
N/A
Do the door locks work with the keys?
Yes
No
Not Checked
See Notes
N/A
Do the doors open electronically with solenoids?
Yes
No
Not Checked
See Notes
N/A
If so, do all actuators release correctly?
Yes
No
Not Checked
See Notes
N/A
Is there central locking?
Yes
No
Not Checked
See Notes
N/A
If yes, does it operate correctly?
Yes
No
Not Checked
See Notes
N/A
EXTERIOR
Body Builder:
Wescott
Body Construction
Steel
Fiberglass
Both
Body Type
Sedan
Coupe
Convertible
Pickup
T-Bucket
Other
Number of Doors:
2
Engine Make:
Chevrolet
Displacement:
350 ci
Number of Cylinders:
8
Condition of Paint
Excellent
Very Good
Good
Fair
Poor
Chipped
Scratched
Cracked
Dull
Orange Peel
Poor Preparation
Polishing Req.
Part Re-spray Req.
Full Re-spray Req.
Alignment of Body Panels (gaps)
Regular
Irregular
Where?
Trunk, Left door and left side of hood to swage line.
Upper Body Corrosion
F/DS Fender
F/DS Door
DS Rocker (Sill)
Hood
F/PS Fender
F/PS Door
PS Rocker (Sill)
Engine Bay
R/DS Quarter
R/DS Door
F Valence
Trunk
R/PS Quarter
R/PS Door
R Valence
Roof
None Seen
LEGEND: F=Front R=Rear DS=Driver Side PS=Passenger Side
Upper Body Dents/Dings/Cracks
F/DS Fender
F/DS Door
DS Rocker (Sill)
Hood
F/PS Fender
F/PS Door
PS Rocker (Sill)
Engine Bay
R/DS Quarter
R/DS Door
F Valence
Trunk
R/PS Quarter
R/PS Door
R Valence
Roof
None Seen
LEGEND: F=Front R=Rear DS=Driver Side PS=Passenger Side
Collision Damage
Is there any obvious collision damage?
Yes
No
Not Checked
See Notes
N/A
Re-spray
Check under the hood, in the trunk, around the doorjambs, along the bottom of the doors and especially on the weather stripping.
Do you see any signs that the car was repainted? (i.e. over-spray, tape-lines, or unpainted surfaces)
Yes
No
Not Checked
See Notes
N/A
Body Filler (a.k.a. Bondo)
Did you notice any ripples in the body finish?
Yes
No
Not Checked
See Notes
N/A
Did you detect any Bondo in the upper body?
Yes
No
Not Checked
See Notes
N/A
Did you detect any cracks or Bondo in the lower body, like Floors, Rockers, Lower Valences, Fender Lips, etc.?
Yes
No
Not Checked
See Notes
N/A
If so, state where:
Lower quarters, D/S door
*Ask the owner if the car while in their possession or, to his/her knowledge:
Has it ever been in an accident?
Yes
No
Not Checked
See Notes
N/A
Was it totalled/written off?
Yes
No
Not Checked
See Notes
N/A
Signature on file?
Yes
No
Not Checked
See Notes
N/A
Exterior Chrome/Bright Work
On a scale of 1 to 5 with 1 being 'Excellent' and 5 being 'Poor', rate the overall condition of the chrome:
1 = Excellent
2 = Very Good
3 = Good
4 = Fair
5 = Poor
Some re-plating required?
Yes
No
Not Checked
See Notes
N/A
Some replacing required?
Yes
No
Not Checked
See Notes
N/A
Some polishing required?
Yes
No
Not Checked
See Notes
N/A
Are there any dents?
Yes
No
Not Checked
See Notes
N/A
Is there any pitting/rust?
Yes
No
Not Checked
See Notes
N/A
Is there any cloudiness or tarnishing?
Yes
No
Not Checked
See Notes
N/A
Is it all there?
Yes
No
Not Checked
See Notes
N/A
Glass and Rubber Gaskets
What is the overall condition of the rubber gaskets / weather-stripping?
Good
Fair
Poor
Are any parts ...
Damaged
Dried-out/Aged
Loose
Missing
If so, state where:
Doors
What overall condition is the glass in?
Good
Fair
Poor
Is the glass ...
Broken
Cracked
Scratched
Chipped
Delaminating
Soft-Top (If the car is a convertible)
What condition is the soft-top in?
Very Good
Good
Fair
Poor
Does it seem to seal well around the doors when in the up position?
Yes
No
Not Checked
See Notes
N/A
Are there any rips or tears?
Yes
No
Not Checked
See Notes
N/A
Is the stitching coming apart anywhere?
Yes
No
Not Checked
See Notes
N/A
Is the top taut when in the up position?
Yes
No
Not Checked
See Notes
N/A
Is the rear window ...
Clear
Scratched
Discolored
Top frame mechanism condition:
Good
Broken
Requires Painting
Rusted
Does it operate smoothly?
Yes
No
Not Checked
See Notes
N/A
Is the top ...
Power Assisted
Manual
If there are side-curtains, rate their overall condition:
Very Good
Good
Fair
Poor
TRUNK / BED
Is this section applicable?
Yes
No
If there is carpet/mat in the trunk, what condition is it in?
Good
Fair
Poor
None
Are you able to lift the carpet?
Yes
No
Not Checked
See Notes
N/A
Is there any rust in the floor?
Yes
No
Not Checked
See Notes
N/A
Does the carpet feel wet?
Yes
No
Not Checked
See Notes
N/A
Do you see a jack?
Yes
No
Not Checked
See Notes
N/A
Do you see a lug wrench?
Yes
No
Not Checked
See Notes
N/A
Do you see a spare tire?
Yes
No
Not Checked
See Notes
N/A
ENGINE BAY (with engine off)
Does the hood / engine cover open easily?
Yes
No
Not Checked
See Notes
N/A
Is it a one-piece tilt-front end?
Yes
No
Not Checked
See Notes
N/A
If so, is it:
Manually Operated
Power Assisted
Does it fit well?
Yes
No
Not Checked
See Notes
N/A
Are there visible stress cracks or rub marks around the hood hinges or blower opening?
Yes
No
Not Checked
See Notes
N/A
The underside of the hood / engine cover is:
Clean
Somewhat Dirty
Very Dirty
Does the paint in the engine bay match that of the car?
Yes
No
Not Checked
See Notes
N/A
Is the engine and bay:
Clean
Somewhat Dirty
Very Dirty
Is the motor ...
Chromed
Billeted
Painted
What condition is it in?
Very Good
Good
Fair
Poor
Are there any wires or electrical cables loose, cracked, spliced, brittle or frayed?
Yes
No
Not Checked
See Notes
N/A
Is there any oil visible anywhere on the engine?
Yes
No
Not Checked
See Notes
N/A
If yes, is there alot?
Yes
No
Not Checked
See Notes
N/A
Is there any oil visible on the floor beneath the car?
Yes
No
Not Checked
See Notes
N/A
If yes, is there alot?
Yes
No
Not Checked
See Notes
N/A
Is there transmission fluid on the floor beneath the car?
Yes
No
Not Checked
See Notes
N/A
If yes, is there alot?
Yes
No
Not Checked
See Notes
N/A
Is there any coolant on the floor beneath the car?
Yes
No
Not Checked
See Notes
N/A
If yes, is there alot?
Yes
No
Not Checked
See Notes
N/A
Is the amount of oil in the engine at the manufacturers recommended level? (check dipstick)
Yes
No
Not Checked
See Notes
N/A
Does the oil look:
Old/Black/Dirty
Recently Changed
In Between
If the transmission is automatic, check the dipstick. Does the oil look:
Pink/Red
Brown
Does either the engine oil or transmission fluid smell burnt?
Engine
Transmission
Look inside the brake fluid reservoir. Is the level correct?
Yes
No
Not Checked
See Notes
N/A
Is the fluid clear?
Yes
No
Not Checked
See Notes
N/A
ENGINE (with engine running - from inside the car)
Did the vehicle start easily?
Yes
No
Not Checked
See Notes
N/A
Were there any 'clanks' when the vehicle first started up?
Yes
No
Not Checked
See Notes
N/A
Is there an Oil Pressure Gauge?
Yes
No
Not Checked
See Notes
N/A
If Yes, what does the oil pressure gauge read?
L
LN
N
NH
H
or enter lbs:
40 Lbs
(From beneath the hood / engine cover)
Does the vehicle idle:
Smoothly
Somewhat Roughly
Very Roughly
(While the engine is still cold) Remove the radiator cap.
Is there coolant visible?
Yes
No
Not Checked
See Notes
N/A
If yes, do you see any air bubbles surfacing in the water?
Yes
No
Not Checked
See Notes
N/A
Do you see any oil in the water?
Yes
No
Not Checked
See Notes
N/A
Remove the valve cover cap and check for 'blow-by'.
Does any smoke blow out?
Yes
No
Not Checked
See Notes
N/A
Rev the engine a few times
Do you notice any smoke coming out of the tail pipe?
Yes
No
Not Checked
See Notes
N/A
If yes, what color is it?
Black
White
Lt. Gray
Lt./Dk. Blue
*Slowly bring the car up to operating temperature. Once you've reached this point, gradually depress the accelerator, as the car comes up through the rev. range listen very carefully to the engine and supercharger or turbocharger.
Do you note any 'Growls', 'Rattles' or 'Knocks' or unusual noises?
Yes
No
Not Checked
See Notes
N/A
TRANSMISSION
Automatic Gearbox
From a standstill with engine running, apply the parking brake firmly, put the car in 'Reverse' and then in 'Drive'
Do you notice any 'clunks' from the drivetrain?
Yes
No
Not Checked
See Notes
N/A
Now gently depress the accelerator while in Drive. Note any delay between your pressure on the accelerator pedal and the cars movement. This would indicate slipping clutches, worn bands etc.
Do you notice a delay or feel any slippage?
Yes
No
Not Checked
See Notes
N/A
With the parking brake release, begin the road test, but 'manually' shift through the gears from Low to Drive and note the smoothness or the 'change'.
Do the gears engage and disengage smoothly?
Yes
No
Not Checked
See Notes
N/A
Do you notice any 'clunks' or 'harsh-shifting' from the drivetrain?
Yes
No
Not Checked
See Notes
N/A
Manual Gearbox
When the car was at a standstill, but with the engine running, if you applied the parking brake, depressed the clutch and engaged second gear; then tried to drive off.
Does the brake hold the car from moving?
Yes
No
Not Checked
See Notes
N/A
Do you notice any slipping of the clutch?
Yes
No
Not Checked
See Notes
N/A
When depressing the clutch and selecting each gear in turn.
Does the clutch seem to operate correctly?
Yes
No
Not Checked
See Notes
N/A
Do the gears engage easily and smoothly?
Yes
No
Not Checked
See Notes
N/A
Do any of the gears/syncros seem noisy?
Yes
No
Not Checked
See Notes
N/A
Does the throw-out bearing seem noisy?
Yes
No
Not Checked
See Notes
N/A
ROAD TEST (Required)
Once on the road, check the foot brakes.
Do you feel the brakes pull the vehicle to one side?
Yes
No
Not Checked
See Notes
N/A
Do the gears still engage and disengage smoothly under load?
Yes
No
Not Checked
See Notes
N/A
How is the oil pressure now?
L
LN
N
NH
H
No Gauge
Does the vehicle run ...
Smoothly
Somewhat Roughly
Very Roughly
Did you notice a misfire?
Yes
No
Not Checked
See Notes
N/A
With hands momentarily off the steering wheel, does the car keep going in a straight line?
Yes
No
Not Checked
See Notes
N/A
At slow speed, go through several figure eights left and right. Are any noises or problems noted?
Yes
No
Not Checked
See Notes
N/A
Were there any 'odd' noises you heard whilst driving?
Yes
No
Not Checked
See Notes
N/A
If yes, describe:
Rear suspension sounded loose, rattles and clunks heard driving on the road.
Were you able to road test the vehicle?
Yes
No
Not Checked
See Notes
N/A
Did you drive it on the road?
Yes
No
Not Checked
See Notes
N/A
Did you drive it in a Parking lot/Driveway?
Yes
No
Not Checked
See Notes
N/A
Approximately how far did you drive it?
4 Miles
Who drove?
I (the inspector) did
The seller did
Note: If we did not actually drive the car several potential sensory issues like vague steering, shifting, clutch or brake pedal "Feel" will NOT be reported. Therefore DO NOT ASSUME THAT THERE ARE NO ISSUES in this area.
ELECTRICS
Do the turn signals work?
Yes
No
Not Checked
See Notes
N/A
Do the parking/side lights work?
Yes
No
Not Checked
See Notes
N/A
Do the headlights (hi-beam) work?
Yes
No
Not Checked
See Notes
N/A
Do the headlights (lo-beam) work?
Yes
No
Not Checked
See Notes
N/A
Do the brake lights work?
Yes
No
Not Checked
See Notes
N/A
Do the rear/tail lights work?
Yes
No
Not Checked
See Notes
N/A
Do the instrument lights work?
Yes
No
Not Checked
See Notes
N/A
Do the interior lights work?
Yes
No
Not Checked
See Notes
N/A
Does the horn work?
Yes
No
Not Checked
See Notes
N/A
Do the windshield wipers work correctly?
Yes
No
Not Checked
See Notes
N/A
Does the vehicle have electric windows?
Yes
No
Not Checked
See Notes
N/A
If the vehicle has electric windows, do they all work correctly?
Yes
No
Not Checked
See Notes
N/A
Does the vehicle have an electric conv. top or sunroof?
Yes
No
Not Checked
See Notes
N/A
If yes, does it operate correctly?
Yes
No
Not Checked
See Notes
N/A
Are the instruments ...
Analog
Digital
Are they all made by the same manufacturer?
Yes
No
Not Checked
See Notes
N/A
Do all the switches and instruments appear to work?
Yes
No
Not Checked
See Notes
N/A
Do any switches or instruments appear to be missing?
Yes
No
Not Checked
See Notes
N/A
Does the vehicle have Air Conditioning?
Yes
No
Not Checked
See Notes
N/A
If the vehicle has A/C, does it blow cold?
Yes
No
Not Checked
See Notes
N/A
Does the vehicle have Heater?
Yes
No
Not Checked
See Notes
N/A
If the vehicle has a heater, does it blow hot?
Yes
No
Not Checked
See Notes
N/A
Does vehicle have cruise control?
Yes
No
Not Checked
See Notes
N/A
Does it work correctly?
Yes
No
Not Checked
See Notes
N/A
INTERIOR
What are the seats covered with?
Leather
Cloth
Vinyl
Some Other Material
What condition is it in?
Very Good
Good
Fair
Poor
Are there any rips, tears or broken stitching?
Yes
No
Not Checked
See Notes
N/A
Do both front seats operate easily, front/back, recline etc.?
Yes
No
Not Checked
See Notes
N/A
Are the seats electric?
Yes
No
Not Checked
See Notes
N/A
Are the interior fittings ...
Billeted
Chrome
Plastic
What general condition are they in?
Excellent
Very Good
Good
Fair
Poor
Is there any ...
Pitting
Flaking or Rust
Oxidation or Tarnishing
Do any fittings appear to need plating or replacing?
Yes
No
Not Checked
See Notes
N/A
Do any fittings appear to need polishing?
Yes
No
Not Checked
See Notes
N/A
Do any fittings appear to be damaged/missing?
Yes
No
Not Checked
See Notes
N/A
What condition is the headliner in?
Very Good
Good
Fair
Poor
Are there any rips or tears?
Yes
No
Not Checked
See Notes
N/A
Is it dirty/stained?
Yes
No
Not Checked
See Notes
N/A
If there is a sunroof or T-Tops, do they open/close properly?
Yes
No
Not Checked
See Notes
N/A
Do you see any sign of leaks?
Yes
No
Not Checked
See Notes
N/A
What condition are the carpets in?
Very Good
Good
Fair
Poor
Do they need cleaning?
Yes
No
Not Checked
See Notes
N/A
or do they need replacing?
Yes
No
Not Checked
See Notes
N/A
Is a Radio fitted in the vehicle?
Yes
No
Not Checked
See Notes
N/A
Does the radio work?
Yes
No
Not Checked
See Notes
N/A
Do all of the speakers work?
Yes
No
Not Checked
See Notes
N/A
Is there a CD player?
Yes
No
Not Checked
See Notes
N/A
Is there a CD changer?
Yes
No
Not Checked
See Notes
N/A
Is there a tape player?
Yes
No
Not Checked
See Notes
N/A
Is there a power antenna?
Yes
No
Not Checked
See Notes
N/A
Does it work?
Yes
No
Not Checked
See Notes
N/A
What condition are the interior door panels in?
Good
Fair
Poor
Are the interior door panels ...
Warped
Damaged
Loose
Worn
Is the dash condition ...
Good
Fair
Poor
Damaged
Cracked
Warped
Do the doors operate easily from inside the vehicle (Open/Close/Lock)?
Yes
No
Not Checked
See Notes
N/A
Do all the windows operate easily?
Yes
No
Not Checked
See Notes
N/A
Are they electrically operated?
Yes
No
Not Checked
See Notes
N/A
Do the doors drop when you open them?
Yes
No
Not Checked
See Notes
N/A
Do they align correctly in order to close?
Yes
No
Not Checked
See Notes
N/A
WHEELS
What wheels are fitted to the car?
Steel
Alloys
Wires
Who is the manufacturer of the rims?
American Racing
What overall condition are they in?
Good
Fair
Poor
Curb Rash?
If Chrome or a polished finish, what condition is it in?
Good
Fair
Poor
If Painted, is the finish?
Good
Fair
Poor
If Wires, are there any spokes missing or damaged?
Yes
No
Not Checked
See Notes
N/A
Are the knock-offs damaged?
Yes
No
Not Checked
See Notes
N/A
TIRES
What make and size of tires are fitted to the vehicle?
Iron Man (F) 215 / 45 ZR 17 (R) 255 / 35 ZR 20
Are all four tires the same size and make?
Yes
No
Not Checked
See Notes
N/A
Does the spare wheel match?
Yes
No
Not Checked
See Notes
N/A
How worn are they?
Like New
Part-Worn
Barely-Legal
Cracked
Cut/Damaged
If unevenly worn, was the wear on the ...
Front
Rear
Outside Edge
Inside Edge
Center or Sides
Check each tire
Are there any signs that the tires have made contact with the bodywork?
Yes
No
Not Checked
See Notes
N/A
If yes, where?
Font tires rubbed on tight turns.
Look carefully at the wheel wells, especially in front and back of the tire and the outer lip
Do you see any signs of ...
Rust
Bondo
Repairs/Patches
Excessive Undercoating
SUSPENSION
Check for sagging springs by looking at the profile of the car from a distance. It should sit level, front to rear and side to side.
Does the vehicle sit level?
Yes
No
Not Checked
See Notes
N/A
If no, does it seem lower ...
At the Back
At the Front
On the Left Side
On the Right Side
Do any of the suspension elements appear to be damaged, leaking or poorly attached?
Yes
No
Not Checked
See Notes
N/A
Press your weight on each corner of the car in turn, bounce the car three times and let go
Does the car continue to bounce?
No
Yes
Suspension was too stiff to test
Not Checked
See Notes
N/A
If air does it "raise/lower" correctly?
Yes
No
Not Checked
See Notes
N/A
UNDERNEATH
What did you use to inspect the underside?
A Lift
Ramps
Floor Jack
Nothing
Is the chassis ...
Tubular
Rail Frame
Reinforced Rail Frame
Sub-frame or Uni-body
Do you see any signs of ...
Rust
Bent Frame
Patches Welded In
Do you see examples of poor welding on the frame tubes / rails?
Yes
No
Not Checked
See Notes
N/A
Do you see any signs of 'bottoming-out'?
Yes
No
Not Checked
See Notes
N/A
Is there rubberized under-coating beneath the vehicle?
Some
A Lot
None
Check the oil and Transmission pans, the rear end, steering rack and front cross-member etc
Do you see any fluid leaks?
Yes
No
Not Checked
N/A
If so, where?
Differential, engine, trans
Check the underneath carefully! If it's an older vehicle, poke around with an awl or screwdriver, especially the frame, dog legs, jack points and structural sections (where body, axles, springs attach to the frame) if anything looks rusted, patched or suspicious, write it down.
Surface rust
Power steering bushings are dry rotted.
The flywheel inspection cover is missing.
Note: If no lift was available at the time of the inspection any comments made are based on observations from a prone position. As it is impossible to inspect the underside of a vehicle thoroughly without a lift, DO NOT ASSUME THAT THERE ARE NO ISSUES in this area.
PAPERWORK
Ask to see the title. Check for authenticity and proof of ownership.
Is the title ...
Regular
Salvage
Other/Special
Not Available
If not available, did you see a ...
Certificate of Registration
Bill of Sale
Does the VIN on the vehicle match the title or registration certificate?
Yes
No
Not Checked
See Notes
N/A
Were any build documents, parts receipts or service records etc. made available for you to look at?
Yes
No
Not Checked
See Notes
N/A
Enter any comments here:
NO VIN SEEN!
NOTES
Slight orange peel in paint on lower panels.
Pitting on door handles and mirrors.
No key for door locks.
Brake fluid not accessible
Elbow filler neck so unable to see coolant.
Only one windshield wiper.
Oil pressure gauge seemed erratic.
Headlights and taillights didn't work when first testing. Mechanic installed fuse and they worked after that.
Power windows inop. Seller was able to lift D/S window up halfway. Unable to lift P/S.
Seller and mechanic said they will take care of issues with vehicle.
