Wisconsin Department of Administration
Division of State Agency Services
State Bureau of Procurement
State Surplus Property Program
101 E. Wilson Street 6th Floor
PO Box 7867
Madison, WI 53707-7867
DOA-3081 (R08/2004)
USED STATE VEHICLE IDENTIFICATION AND CONDITION REPORT
NOTICE TO BIDDER
This vehicle is offered for sale and its description has been compiled to assist the buyer. No guaranty or warranty whatsoever
is given or implied on the part of the State of Wisconsin. The vehicle is being sold unwarranted in an "as is" and "where is"
condition. "THE ENTIRE RISK AS TO THE QUALITY AND PERFORMANCE OF THE GOODS IS WITH THE BUYER, AND SHOULD THE VEHICLE
PROVE DEFECTIVE FOLLOWING THE PURCHASE, THE BUYER WILL ASSUME THE ENTIRE COST OF ALL SERVICING AND REPAIR."
Auction Item No.
Fleet #
Auction Date
A. Identifying Information
Year:
Make:
Engine Size:
Model:
Fuel Type:
MILEAGE
Cylinders:
Over 1 Ton Trucks only: Gross Weight: (GVWR)
Mileage filled in by auctio
VIN:
B. This vehicle is equipped with the following:
1.
TRANSMISSION :
Auto 
Auto-mated Manual 
Manual 
LIST ADDITIONAL EQUIPMENT:
YES
NO
7.
2. POWER STEERING


8.
3. POWER BRAKES


9.
4. CRUISE CONTROL

.
10.
5. AIR CONDITIONING


11.
6. TILT STEERING


12.
C. Vehicle was used as a police vehicle. Yes 
No 
D. Vehicle is a towaway –.
Yes 
(CAUTION: may be unsafe to drive / operate )
No 
E. Mileage exceeds 100,000 miles
Yes 
No 
Sale of this vehicle is subject to state sales tax and, where applicable, county sales tax.
Reviewed By:
Signature
Title:
Agency:
A "Used Vehicle Condition Report" appears on the reverse side
Date
Wisconsin Department of Administration
Division of State Agency Services
State Bureau of Procurement
State Surplus Property Program
101 E. Wilson Street 6th Floor
PO Box 7867
Madison, WI 53707-7867
DOA-3081 (R08/2004) page 2 of 3
USED STATE VEHICLE CONDITION REPORT / IDENTIFICATION
Auction Location
Auction Date
Mileage on Inspection Date
Vehicle Fleet Number
State Agency Name
Vehicle Year
Make
VIN:
Engine
VEHICLE USE: This vehicle was previously used as a Government owned vehicle. Other Vehicle History:  Flood Damaged
Transmission
 Police Vehicle
AS IS - No warranty, express or implied, THE ENTIRE RISK AS TO THE QUALITY AND PERFORMANCE OF THE VEHICLE IS WITH THE BUYER, AND SHOULD THE
VEHICLE PROVE DEFECTIVE FOLLOWING THE PURCHASE, THE BUYER WILL ASSUME THE ENTIRE COST OF ALL SERVICING AND REPAIR.
DISCLOSURE STATEMENT - I have exercised reasonable diligence in inspecting this vehicle, including at least a review of my repair records, a walk-around
and interior inspection, an under-hood inspection, an under-vehicle inspection, and a test drive. On the basis of such inspection, I declare the apparent
existing condition to be as indicated in the boxes below.
GENERAL CONDITION
Yes No
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
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VEHICLE EQUIPMENT REQUIREMENTS
ALL REQUIRED safety equipment items below, except those
marked “NOT OK”, are in operating condition. If such defects
are not corrected prior to the delivery of the vehicle to thte retail
purchaser, the PURCHASER shall be responsible for operation
on the public highways.
Cooling System
Coolant antifreeze safe to ________ oF
System problem
Drive Train
Shifting problem
NOT
OK
OK
Abnormal noise or vibration
Visible cracks or damage to cases or housings





Brakes system
Parking brake
Service Brakes
Bumpers
Doors, Hoods, and Trunk Lid
Emission Equipment







Inspection does not ensure vehicle will pass
state emission test where required.
Exhaust system
Fenders, Firewall, and Floor pan
Frame or Structural Portion of Unibody
Fuel System
Horn
Lights
Restraining Devices, Seats, Airbags, Belts
Electrical System





Charging system problem
Starting system problem
Ignition system problem
Engine
Abnormal noise
Electronic control module problem
Misses or backfires
Idles improperly
Belts missing, frayed, or cracked (does NOT include timing belt)
Fluid
Known or visible leaks, excluding minor seepage
Gauges and Warning Devices


Speedometer and Odometer


Steering components


Suspension


Tires and Wheels


Windshield, Windows, and Mirrors


Windshield Defroster, Wipers and Washers
Explain all items marked “Yes” or "NOT OK".
Gauge or device problem
Indicate a system problem
Dash lights and gauge lights problem
Other Equipment







Not Equipped
 
ABS Brake System problem

 
Air conditioning system problem

 
Cruise control problem

 
Heating system problem

 
Power accessory problem

 
Sound system problem

 
Spare tire or jack missing

I certify to the best of my knowledge that the information provided on this report is accurate.
X
INSPECTOR SIGNATURE
PHONE
DATE
______________________________________________________________________________________
INSPECTOR NAME – PLEASE PRINT LEGIBLY
_____________________________________________________________________________________
INSPECTOR AGENCY NAME OR VENDOR COMPANY NAME
Wisconsin Department of Administration
Division of State Agency Services
State Bureau of Procurement
State Surplus Property Section
101 E. Wilson Street 6th Floor
PO Box 7867
Madison, WI 53707-7867
DOA-3081 (R08/2004) page 3 of 3
VEHICLE AUCTION INSTRUCTIONS
AND GUIDELINES
INSTRUCTIONS
Type or print legibly in black ink. No Abbreviation, please. Mileage will be completed at auction site by SSPP.
Send the Original & 2 copies of the SIGNED Vehicle Condition Report/ID.
Send one set of vehicle keys on the pre-numbered key tag.
When transporting own vehicles to the auction facility, leave vehicle keys with facility staff.
Send the Original & 1 copy of a signed Odometer Statement 10 days prior to auction date.
AUCTION SALE GUIDELINES
The following are condition guidelines for vehicles that may be sold at State Motor Vehicle auctions. If unsure about the acceptability of a vehicle for
an auction, please contact the SSPP at 608-266-1719.
Conditions that need to be repaired:

Windshield damage

Broken headlights & taillights

Inoperative turn signals

Brakes (including ABS systems)

Excessively worn tires

Alignment

Steering components

Missing fuel cap(s)

Restraining devices (seat belts, air bags, etc.)

mirrors
Conditions that may warrant salvage:

repairs in excess of 70% of vehicle fair market value

excessive body rust (30%-70%)

rusted rocker panels

rusted out floors in driver/passenger compartments
Conditions that warrant approval/clarification from SSPP:

seized engine

welded / replaced flooring within passenger compartments

transmission problems (non operative, poor shifting)

missing side / rear windows

missing keys, locked compartments, etc

speedometer / odometer discrepancy

any tow away vehicles

any vehicles seized or impounded

condition too poor to transport safely to auction location
Overall vehicle desired conditions:

clean interior

clean exterior

absence of rust

operating drive train

operating electrical system

operating engine and related components

operating heating and cooling system