Modified Car Report Sample

1965 Shelby Cobra Replica
PHOTOGRAPHS
1965 Shelby Cobra Replica
VIN:
AA9BMAAHV61CN1050
Engine #:
N/A  
Mileage:
632.5  
Paint Color:
Blue / White Stripes  
Trim Color:
Black  
ENTRY SYSTEM
Are there door handles?
YesNoNot CheckedSee NotesN/A
Do the door locks work with the keys?
YesNoNot CheckedSee NotesN/A
Do the doors open electronically with solenoids?
YesNoNot CheckedSee NotesN/A
If so, do all actuators release correctly?
YesNoNot CheckedSee NotesN/A
Is there central locking?
YesNoNot CheckedSee NotesN/A
If yes, does it operate correctly?
YesNoNot CheckedSee NotesN/A
EXTERIOR
Body Builder:
Back Draft
Body Construction
SteelFiberglassBoth
Body Type
SedanCoupeConvertiblePickupT-BucketOther
Number of Doors:
2
Engine Make:
Chevrolet
Displacement:
350 / 383
Number of Cylinders:
8
Condition of Paint
ExcellentVery GoodGoodFairPoor
ChippedScratchedCrackedDullOrange Peel
Poor PreparationPolishing Req.Part Re-spray Req.Full Re-spray Req.
Alignment of Body Panels (gaps)
RegularIrregularWhere?Trunk lid and Hood gaps are inconsistent.
Upper Body Corrosion
F/DS FenderF/DS DoorDS Rocker (Sill)Hood
F/PS FenderF/PS DoorPS Rocker (Sill)Engine Bay
R/DS QuarterR/DS DoorF ValenceTrunk
R/PS QuarterR/PS DoorR ValenceRoof
None Seen
LEGEND: F=Front R=Rear DS=Driver Side PS=Passenger Side
Upper Body Dents/Dings/Cracks
F/DS FenderF/DS DoorDS Rocker (Sill)Hood
F/PS FenderF/PS DoorPS Rocker (Sill)Engine Bay
R/DS QuarterR/DS DoorF ValenceTrunk
R/PS QuarterR/PS DoorR ValenceRoof
None Seen
LEGEND: F=Front R=Rear DS=Driver Side PS=Passenger Side
Collision Damage
Is there any obvious collision damage?
YesNoNot CheckedSee NotesN/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)
YesNoNot CheckedSee NotesN/A
Body Filler (a.k.a. Bondo)
Did you notice any ripples in the body finish?
YesNoNot CheckedSee NotesN/A
Did you detect any Bondo in the upper body?
YesNoNot CheckedSee NotesN/A
Did you detect any cracks or Bondo in the lower body, like Floors, Rockers, Lower Valences, Fender Lips, etc.?
YesNoNot CheckedSee NotesN/A
*Ask the owner if the car while in their possession or, to his/her knowledge:
Has it ever been in an accident?
YesNoNot CheckedSee NotesN/A
Was it totalled/written off?
YesNoNot CheckedSee NotesN/A
Signature on file?
YesNoNot CheckedSee NotesN/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 = Excellent2 = Very Good3 = Good4 = Fair5 = Poor
Some re-plating required?
YesNoNot CheckedSee NotesN/A
Some replacing required?
YesNoNot CheckedSee NotesN/A
Some polishing required?
YesNoNot CheckedSee NotesN/A
Are there any dents?
YesNoNot CheckedSee NotesN/A
Is there any pitting/rust?
YesNoNot CheckedSee NotesN/A
Is there any cloudiness or tarnishing?
YesNoNot CheckedSee NotesN/A
Is it all there?
YesNoNot CheckedSee NotesN/A
Glass and Rubber Gaskets
What is the overall condition of the rubber gaskets / weather-stripping?
GoodFairPoor
Are any parts ...
DamagedDried-out/AgedLooseMissing
If so, state where:Windshield
What overall condition is the glass in?
GoodFairPoor
Is the glass ...
BrokenCrackedScratchedChippedDelaminating
If so, state where:Windshield
Soft-Top (If the car is a convertible)
What condition is the soft-top in?
Very GoodGoodFairPoor
Does it seem to seal well around the doors when in the up position?
YesNoNot CheckedSee NotesN/A
Are there any rips or tears?
YesNoNot CheckedSee NotesN/A
Is the stitching coming apart anywhere?
YesNoNot CheckedSee NotesN/A
Is the top taut when in the up position?
YesNoNot CheckedSee NotesN/A
Is the rear window ...
ClearScratchedDiscolored
Top frame mechanism condition:
GoodBrokenRequires PaintingRusted
Does it operate smoothly?
YesNoNot CheckedSee NotesN/A
Is the top ...
Power AssistedManual
If there are side-curtains, rate their overall condition:
Very GoodGoodFairPoor
TRUNK / BED
Is this section applicable?
YesNo
If there is carpet/mat in the trunk, what condition is it in?
GoodFairPoorNone
Are you able to lift the carpet?
YesNoNot CheckedSee NotesN/A
Is there any rust in the floor?
YesNoNot CheckedSee NotesN/A
Does the carpet feel wet?
YesNoNot CheckedSee NotesN/A
Do you see a jack?
YesNoNot CheckedSee NotesN/A
Do you see a lug wrench?
YesNoNot CheckedSee NotesN/A
Do you see a spare tire?
YesNoNot CheckedSee NotesN/A
ENGINE BAY (with engine off)
Does the hood / engine cover open easily?
YesNoNot CheckedSee NotesN/A
Is it a one-piece tilt-front end?
YesNoNot CheckedSee NotesN/A
If so, is it:
Manually OperatedPower Assisted
Does it fit well?
YesNoNot CheckedSee NotesN/A
Are there visible stress cracks or rub marks around the hood hinges or blower opening?
YesNoNot CheckedSee NotesN/A
The underside of the hood / engine cover is:
CleanSomewhat DirtyVery Dirty
Does the paint in the engine bay match that of the car?
YesNoNot CheckedSee NotesN/A
Is the engine and bay:
CleanSomewhat DirtyVery Dirty
Is the motor ...
ChromedBilletedPainted
What condition is it in?
Very GoodGoodFairPoor
Are there any wires or electrical cables loose, cracked, spliced, brittle or frayed?
YesNoNot CheckedSee NotesN/A
Is there any oil visible anywhere on the engine?
YesNoNot CheckedSee NotesN/A
If yes, is there alot?
YesNoNot CheckedSee NotesN/A
Is there any oil visible on the floor beneath the car?
YesNoNot CheckedSee NotesN/A
If yes, is there alot?
YesNoNot CheckedSee NotesN/A
Is there transmission fluid on the floor beneath the car?
YesNoNot CheckedSee NotesN/A
If yes, is there alot?
YesNoNot CheckedSee NotesN/A
Is there any coolant on the floor beneath the car?
YesNoNot CheckedSee NotesN/A
If yes, is there alot?
YesNoNot CheckedSee NotesN/A
Is the amount of oil in the engine at the manufacturers recommended level? (check dipstick)
YesNoNot CheckedSee NotesN/A
Does the oil look:
Old/Black/DirtyRecently ChangedIn Between
If the transmission is automatic, check the dipstick. Does the oil look:
Pink/RedBrown
Does either the engine oil or transmission fluid smell burnt?
EngineTransmission
Look inside the brake fluid reservoir. Is the level correct?
YesNoNot CheckedSee NotesN/A
Is the fluid clear?
YesNoNot CheckedSee NotesN/A
ENGINE (with engine running - from inside the car)
Did the vehicle start easily?
YesNoNot CheckedSee NotesN/A
Were there any 'clanks' when the vehicle first started up?
YesNoNot CheckedSee NotesN/A
Is there an Oil Pressure Gauge?
YesNoNot CheckedSee NotesN/A
If Yes, what does the oil pressure gauge read?
LLNNNHH
(From beneath the hood / engine cover)
Does the vehicle idle:
SmoothlySomewhat RoughlyVery Roughly
(While the engine is still cold) Remove the radiator cap.
Is there coolant visible?
YesNoNot CheckedSee NotesN/A
If yes, do you see any air bubbles surfacing in the water?
YesNoNot CheckedSee NotesN/A
Do you see any oil in the water?
YesNoNot CheckedSee NotesN/A
Remove the valve cover cap and check for 'blow-by'.
Does any smoke blow out?
YesNoNot CheckedSee NotesN/A
Rev the engine a few times
Do you notice any smoke coming out of the tail pipe?
YesNoNot CheckedSee NotesN/A
If yes, what color is it?
BlackWhiteLt. GrayLt./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?
YesNoNot CheckedSee NotesN/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?
YesNoNot CheckedSee NotesN/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?
YesNoNot CheckedSee NotesN/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?
YesNoNot CheckedSee NotesN/A
Do you notice any 'clunks' or 'harsh-shifting' from the drivetrain?
YesNoNot CheckedSee NotesN/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?
YesNoNot CheckedSee NotesN/A
Do you notice any slipping of the clutch?
YesNoNot CheckedSee NotesN/A
When depressing the clutch and selecting each gear in turn.
Does the clutch seem to operate correctly?
YesNoNot CheckedSee NotesN/A
Do the gears engage easily and smoothly?
YesNoNot CheckedSee NotesN/A
Do any of the gears/syncros seem noisy?
YesNoNot CheckedSee NotesN/A
Does the throw-out bearing seem noisy?
YesNoNot CheckedSee NotesN/A
ROAD TEST (Required)
Once on the road, check the foot brakes.
Do you feel the brakes pull the vehicle to one side?
YesNoNot CheckedSee NotesN/A
Do the gears still engage and disengage smoothly under load?
YesNoNot CheckedSee NotesN/A
How is the oil pressure now?
LLNNNHHNo Gauge
Does the vehicle run ...
SmoothlySomewhat RoughlyVery Roughly
Did you notice a misfire?
YesNoNot CheckedSee NotesN/A
With hands momentarily off the steering wheel, does the car keep going in a straight line?
YesNoNot CheckedSee NotesN/A
At slow speed, go through several figure eights left and right. Are any noises or problems noted?
YesNoNot CheckedSee NotesN/A
Were there any 'odd' noises you heard whilst driving?
YesNoNot CheckedSee NotesN/A
Were you able to road test the vehicle?
YesNoNot CheckedSee NotesN/A
Did you drive it on the road?
YesNoNot CheckedSee NotesN/A
Did you drive it in a Parking lot/Driveway?
YesNoNot CheckedSee NotesN/A
Approximately how far did you drive it?
2 Miles
Who drove?
I (the inspector) didThe 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?
YesNoNot CheckedSee NotesN/A
Do the parking/side lights work?
YesNoNot CheckedSee NotesN/A
Do the headlights (hi-beam) work?
YesNoNot CheckedSee NotesN/A
Do the headlights (lo-beam) work?
YesNoNot CheckedSee NotesN/A
Do the brake lights work?
YesNoNot CheckedSee NotesN/A
Do the rear/tail lights work?
YesNoNot CheckedSee NotesN/A
Do the instrument lights work?
YesNoNot CheckedSee NotesN/A
Do the interior lights work?
YesNoNot CheckedSee NotesN/A
Does the horn work?
YesNoNot CheckedSee NotesN/A
Do the windshield wipers work correctly?
YesNoNot CheckedSee NotesN/A
Does the vehicle have electric windows?
YesNoNot CheckedSee NotesN/A
If the vehicle has electric windows, do they all work correctly?
YesNoNot CheckedSee NotesN/A
Does the vehicle have an electric conv. top or sunroof?
YesNoNot CheckedSee NotesN/A
If yes, does it operate correctly?
YesNoNot CheckedSee NotesN/A
Are the instruments ...
AnalogDigital
Are they all made by the same manufacturer?
YesNoNot CheckedSee NotesN/A
Do all the switches and instruments appear to work?
YesNoNot CheckedSee NotesN/A
Do any switches or instruments appear to be missing?
YesNoNot CheckedSee NotesN/A
Does the vehicle have Air Conditioning?
YesNoNot CheckedSee NotesN/A
If the vehicle has A/C, does it blow cold?
YesNoNot CheckedSee NotesN/A
Does the vehicle have Heater?
YesNoNot CheckedSee NotesN/A
If the vehicle has a heater, does it blow hot?
YesNoNot CheckedSee NotesN/A
Does vehicle have cruise control?
YesNoNot CheckedSee NotesN/A
Does it work correctly?
YesNoNot CheckedSee NotesN/A
INTERIOR
What are the seats covered with?
LeatherClothVinylSome Other Material
What condition is it in?
Very GoodGoodFairPoor
Are there any rips, tears or broken stitching?
YesNoNot CheckedSee NotesN/A
Do both front seats operate easily, front/back, recline etc.?
YesNoNot CheckedSee NotesN/A
Are the seats electric?
YesNoNot CheckedSee NotesN/A
Are the interior fittings ...
BilletedChromePlastic
What general condition are they in?
ExcellentVery GoodGoodFairPoor
Is there any ...
PittingFlaking or RustOxidation or Tarnishing
Do any fittings appear to need plating or replacing?
YesNoNot CheckedSee NotesN/A
Do any fittings appear to need polishing?
YesNoNot CheckedSee NotesN/A
Do any fittings appear to be damaged/missing?
YesNoNot CheckedSee NotesN/A
What condition is the headliner in?
Very GoodGoodFairPoor
Are there any rips or tears?
YesNoNot CheckedSee NotesN/A
Is it dirty/stained?
YesNoNot CheckedSee NotesN/A
If there is a sunroof or T-Tops, do they open/close properly?
YesNoNot CheckedSee NotesN/A
Do you see any sign of leaks?
YesNoNot CheckedSee NotesN/A
What condition are the carpets in?
Very GoodGoodFairPoor
Do they need cleaning?
YesNoNot CheckedSee NotesN/A
or do they need replacing?
YesNoNot CheckedSee NotesN/A
Is a Radio fitted in the vehicle?
YesNoNot CheckedSee NotesN/A
Does the radio work?
YesNoNot CheckedSee NotesN/A
Do all of the speakers work?
YesNoNot CheckedSee NotesN/A
Is there a CD player?
YesNoNot CheckedSee NotesN/A
Is there a CD changer?
YesNoNot CheckedSee NotesN/A
Is there a tape player?
YesNoNot CheckedSee NotesN/A
Is there a power antenna?
YesNoNot CheckedSee NotesN/A
Does it work?
YesNoNot CheckedSee NotesN/A
What condition are the interior door panels in?
GoodFairPoor
Are the interior door panels ...
WarpedDamagedLooseWorn
Is the dash condition ...
GoodFairPoorDamagedCrackedWarped
Do the doors operate easily from inside the vehicle (Open/Close/Lock)?
YesNoNot CheckedSee NotesN/A
Do all the windows operate easily?
YesNoNot CheckedSee NotesN/A
Are they electrically operated?
YesNoNot CheckedSee NotesN/A
Do the doors drop when you open them?
YesNoNot CheckedSee NotesN/A
Do they align correctly in order to close?
YesNoNot CheckedSee NotesN/A
WHEELS
What wheels are fitted to the car?
SteelAlloysWires
Who is the manufacturer of the rims?
Halibrand knock offs
What overall condition are they in?
GoodFairPoorCurb Rash?
If Chrome or a polished finish, what condition is it in?
GoodFairPoor
If Painted, is the finish?
GoodFairPoor
If Wires, are there any spokes missing or damaged?
YesNoNot CheckedSee NotesN/A
Are the knock-offs damaged?
YesNoNot CheckedSee NotesN/A
TIRES
What make and size of tires are fitted to the vehicle?
Goodyear (F) 235 / 45 R17 (R) P 315 / 35 R17
Are all four tires the same size and make?
YesNoNot CheckedSee NotesN/A
Does the spare wheel match?
YesNoNot CheckedSee NotesN/A
How worn are they?
Like NewPart-WornBarely-LegalCrackedCut/Damaged
If unevenly worn, was the wear on the ...
FrontRearOutside EdgeInside EdgeCenter or Sides
Check each tire
Are there any signs that the tires have made contact with the bodywork?
YesNoNot CheckedSee NotesN/A
Look carefully at the wheel wells, especially in front and back of the tire and the outer lip
Do you see any signs of ...
RustBondoRepairs/PatchesExcessive 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?
YesNoNot CheckedSee NotesN/A
If no, does it seem lower ...
At the BackAt the FrontOn the Left SideOn the Right Side
Do any of the suspension elements appear to be damaged, leaking or poorly attached?
YesNoNot CheckedSee NotesN/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?
NoYesSuspension was too stiff to testNot CheckedSee NotesN/A
If air does it "raise/lower" correctly?
YesNoNot CheckedSee NotesN/A
UNDERNEATH
What did you use to inspect the underside?
A LiftRampsFloor JackNothing
Is the chassis ...
TubularRail FrameReinforced Rail FrameSub-frame or Uni-body
Do you see any signs of ...
RustBent FramePatches Welded In
Do you see examples of poor welding on the frame tubes / rails?
YesNoNot CheckedSee NotesN/A
Do you see any signs of 'bottoming-out'?
YesNoNot CheckedSee NotesN/A
Is there rubberized under-coating beneath the vehicle?
SomeA LotNone
Check the oil and Transmission pans, the rear end, steering rack and front cross-member etc
Do you see any fluid leaks?
YesNoNot CheckedN/A
If so, where?Engine front and rear seal, LF valve cover
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.
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 ...
RegularSalvageOther/SpecialNot Available
If not available, did you see a ...
Certificate of RegistrationBill of Sale
Does the VIN on the vehicle match the title or registration certificate?
YesNoNot CheckedSee NotesN/A
Were any build documents, parts receipts or service records etc. made available for you to look at?
YesNoNot CheckedSee NotesN/A
Enter any comments here:
Seller says has paperwork from first owner.
NOTES
Touch up around windshield rubber.

Rear fender stone guards are cracked.

65 Decal cracked and bubbles.

Front valance damage due to driveway.

Lower nose curb rash.

D/S header collector rust hole.

Speedometer and oil temp gauge inop.

D/S rear light dim.

Some stitches loose, D/S seat.

Both door latches / striker bolt loose, hard to open.

Front tires are unevenly worn on the outer edges, The rear as down to the wear bars.