Vehicle Information Sheet

Basic Information
=================
What is your best guess as to when it was built:_______________ 

What the vehicle's 17 digit VIN number: _______________________

What was the date of the car purchase: ________________________

What was the odometer when the car was purchased: _____________

What is today's odometer reading: _____________________________


Preventative Maintenance Items
==============================
                                         Months Interval  Mileage Interval
Item Description                           (or blank)       (or blank)
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1)
   ____________________________________     ____________     ____________ 
2)
   ____________________________________     ____________     ____________ 
3)
   ____________________________________     ____________     ____________ 
4)
   ____________________________________     ____________     ____________ 
5)
   ____________________________________     ____________     ____________ 
6)
   ____________________________________     ____________     ____________ 
7)
   ____________________________________     ____________     ____________ 
8)
   ____________________________________     ____________     ____________ 
9)
   ____________________________________     ____________     ____________ 
10)
   ____________________________________     ____________     ____________ 
11)
   ____________________________________     ____________     ____________ 
12)
   ____________________________________     ____________     ____________ 
13)
   ____________________________________     ____________     ____________ 
14)
   ____________________________________     ____________     ____________ 
15)
   ____________________________________     ____________     ____________ 
16)
   ____________________________________     ____________     ____________ 
17)
   ____________________________________     ____________     ____________ 
18)
   ____________________________________     ____________     ____________ 
19)
   ____________________________________     ____________     ____________ 
20)
   ____________________________________     ____________     ____________ 

Inspection Groups
=================

                                         Months Interval  Mileage Interval
 Group 1 Name:                             (or blank)       (or blank)

 ____________________________________     ____________     ____________ 

                                       
   Inspection Item Descriptions
  -------------------------------
1)
   ____________________________________    
2)
   ____________________________________   
3)
   ____________________________________    
4)
   ____________________________________     
5)
   ____________________________________    
6)
   ____________________________________     
7)
   ____________________________________    

----------------------------------------------------------------------------

                                         Months Interval  Mileage Interval
 Group 2 Name:                             (or blank)       (or blank)

 ____________________________________     ____________     ____________ 

                                       
   Inspection Item Descriptions
  -------------------------------
1)
   ____________________________________    
2)
   ____________________________________   
3)
   ____________________________________    
4)
   ____________________________________     
5)
   ____________________________________    
6)
   ____________________________________     
7)
   ____________________________________    

                                         Months Interval  Mileage Interval
 Group 3 Name:                             (or blank)       (or blank)

 ____________________________________     ____________     ____________ 

                                       
   Inspection Item Descriptions
  -------------------------------
1)
   ____________________________________    
2)
   ____________________________________   
3)
   ____________________________________    
4)
   ____________________________________     
5)
   ____________________________________    
6)
   ____________________________________     
7)
   ____________________________________    

----------------------------------------------------------------------------

                                         Months Interval  Mileage Interval
 Group 4 Name:                             (or blank)       (or blank)

 ____________________________________     ____________     ____________ 

                                       
   Inspection Item Descriptions
  -------------------------------
1)
   ____________________________________    
2)
   ____________________________________   
3)
   ____________________________________    
4)
   ____________________________________     
5)
   ____________________________________    
6)
   ____________________________________     
7)
   ____________________________________    


                                         Months Interval  Mileage Interval
 Group 5 Name:                             (or blank)       (or blank)

 ____________________________________     ____________     ____________ 

                                       
   Inspection Item Descriptions
  -------------------------------
1)
   ____________________________________    
2)
   ____________________________________   
3)
   ____________________________________    
4)
   ____________________________________     
5)
   ____________________________________    
6)
   ____________________________________     
7)
   ____________________________________