CULA LLC

CULA, LLC

Odometer Delivery Acceptance Certificate
(Used Vehicles Only)
Vehicle Type (Select One)

Demo Vehicle

Service Loaner

  1. Two signed originals are required. Lessee retains one signed copy. Credit Union retains other signed copy.
  2. Any damage, excess wear, minor scratches, dents, inoperative equipment or non-factory/aftermarket equipment must be documented on this form.
Lessee Information
Description of the Car (must show on the Lease agreement)
Condition at Lease Origination: List below any damage, excess wear, minor scratches, dents or inoperative equipment. Give the location, if appropriate. If there is nothing to note, write "N/A".
List below any Non-Factory/Aftermarket Equipment (bed liner, sidesteps, etc.)

Lessee has reviewed the condition of the vehicle and accepts the vehicle in its present condition. Lessee acknowledges that he/she will be liable for any excesswear and tear or damage to the vehicle upon turn-in as stated in the lease agreement. The undersigned hereby acknowledges and agrees that each hasexamined the above described vehicle, that it is a Used Vehicle and its condition is as above described, and that the odometer mileage shown below is to thebest of the knowledge of the undersigned an accurate representation of the mileage of the vehicle.

If this vehicle has been reported on the CarFax or Auto Check Report as having severe damage, hail damage, frame damage, structural damage, firedamage, vandalism damage, flood damage, frame, branded or salvaged title, odometer discrepancy or Lemon Law, this vehicle is NOT eligible to beleased under CULA’s program.

ODA 07/2023