POWER UNIT APPRAISAL FORM Side A

USED TRACTOR / POWER UNIT APPRAISAL FORM Side A Appraisal Type General Visual Yes No Was Equipment Started / Run? Yes No Detailed Mechanical Yes No Wa...

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USED TRACTOR / POWER UNIT APPRAISAL FORM Customer Name Address City -

Date Phone No. Zip Code -

State -

Unit Appraised

Side A

See other side for Combine and Implement Details

Make Serial No. Options -

Model Year -

Machine Type Hours -

Appraisal Type General Visual Detailed Mechanical Picture Attached

Yes  No  Yes  No  Yes  No 

General Appearance Paint - Cleanliness Bodywork - Safety Shields/Decals Cab - Seat, Controls & Gauges Tires - Front - Rear Engine

Was Equipment Started / Run? Was Unit Operated / Operational? Comments Excellent 10 10 10 10 10

9 9 9 9 9

8 8 8 8 8

(Circle) 7 7 7 7 7

Excellent

Leaks, Noises, Visual Problems Oil Consumption - Level/Blow by Fuel System - Pump, Injectors Cooling System - A/F Level-Color Electrical - Alternator, Lights Starting System - Battery Levels Power Train

10 10 10 10 10 10 10

9 9 9 9 9 9 9

8 8 8 8 8 8 8

10 10 10 10 10 10 10 10

9 9 9 9 9 9 9 9

8 8 8 8 8 8 8 8

5 5 5 5 5

4 4 4 4 4

(Circle) 7 7 7 7 7 7 7

Excellent

Leaks, Noises, Visual Problems Clutch - Free Play/Slippage Transmission - Shifting/Noise Final Drive - Axle/Planetary Steering/Brakes/Park Brake Hydraulic Pump - Leaks, Noise Hyd. Outlets / Couplers - Leaks -

6 6 6 6 6

Poor

6 6 6 6 6 6 6

5 5 5 5 5 5 5

We hereby certify that the above equipment appraisal and description is accurate and all knowledge of the unit's condition has been disclosed.

Customer - _____________________________________

Dealership Representative - _________________________________

6 6 6 6 6 6 6 6

5 5 5 5 5 5 5 5

2 2 2 2 2

4 4 4 4 4 4 4

3 3 3 3 3 3 3

2 2 2 2 2 2 2

3 3 3 3 3 3 3 3

2 2 2 2 2 2 2 2

Comments - Reconditioning Est.

1 1 1 1 1 1 1

Poor

4 4 4 4 4 4 4 4

Comments - Reconditioning Est.

1 1 1 1 1

Poor

(Circle) 7 7 7 7 7 7 7 7

3 3 3 3 3

Yes  No  Yes  No 

Comments - Reconditioning Est.

1 1 1 1 1 1 1 1

Trade-In Calculation Guide "Resale Cash Value" Hour & Condition Adjust Add (Deduct) Options Net Expected "Cash Value" Less % Gross Margin Less Reconditioning W.O. Less Trucking/Delivery Net Trade Allowance Value

Prospects - Name _________________________ Address _______________________ Current Model _________ - Name _________________________ Address _______________________ Current Model _________ © Copyright 2006 - IRON Solutions, LLC

This form may be reproduced without prior consent provided this copyright notice is not removed.