Transcription of YEAR BODY STYLE MAKE MODEL VIN MILEAGE NUMBER …
1 STATE OF CONNECTICUTDEPARTMENT OF MOTOR VEHICLESCOMMERCIAL vehicle safety DIVISIONCT LICENSED DEALERVEHICLE inspection FORMK-208 NEW 10-2012 This report shall be used by a CT licensed dealer to comply with CGS 14-62(g) and must be completed in its offering any used motor vehicle for retail sale, the selling dealer shall complete a comprehensive safety inspection of such INFORMATIONYEARBODY STYLEVINNUMBERNAME OF DEALERPHONE NUMBERADDRESSTOWN/CITYSTATEZIP CODEPRINCIPALDEALER LICENSE NUMBERINSPECTION ITEMPASSFAILE xplanation of Defects or Repairs NeededSERVICE BRAKESPARKING BRAKETIRES/WHEELSSTEERING SYSTEMSUSPENSIONFRAME/CHASSISEXHAUSTFUEL SYSTEMHEADLIGHTSSTOP/TURN LIGHTSMISC.
2 LIGHTSWIPERS/WASHERWINDSHIELD, TINTHORNVIN VERIFIEDMIRRORSSEAT BELTSAIR BAGSEMISSIONSINSPECTION CERTIFICATION - MUST BE SIGNED BY LICENSEEThe information provided to the Commissioner of Motor Vehicles herein is subscribed by me, the undersigned, under penalty of false statement inaccordance with the provisions of Section 14-110 and 53a-157b of the connecticut General Statutes. I understand that if I make a false writtenstatement which I do not believe to be true, with the intent to mislead a public servant, I will be subject to prosecution under the above cited SIGNATURE AND PRINTED NAMEDATEA COPY OF THIS DOCUMENT MUST BE PROVIDED TO THE BUYERINSPECTIONRESULTSXDEALERMUST INITIALA, B or CMAKEMODELThis vehicle is deemed to be in condition for legal operation on any highway of this state and may becovered by a vehicle is deemed to be in condition for legal operation on any highway of this state, but is beingsold 'AS IS'.
3 And is not subject to warranty under CGS NAME PRINTBUYER SIGNATURE AND DATEV ehicle shall be emissions compliant per 14-164c(n)MILEAGEABDEALER LICENSE INFORMATIONThis vehicle is NOT in condition for legal operation on the highways of connecticut and is being soldin 'AS IS' condition with the defects noted below. There is NO
