(b) When selling a vehicle as junk to a member of the general public, a dealer shall present a form he had printed, called a customer's declaration, to the customer. The form shall identify the vehicle by year, make, model and vehicle identification number. This form must be signed by the customer before the contract of sale is signed. The form shall have an original and one copy. The form shall contain the following four statements:

1. (1) I declare that I do not intend to operate this vehicle on the public highways (including public streets, avenues, roads, etc.) at this time.
2. (2) I declare that I know that I am buying a junk vehicle which is presently unsuitable for operation on the public highways. I know this vehicle must pass inspection before it may be registered.
3. (3) I declare that I know that before this vehicle may be operated on the public highways, it probably needs extensive repairs, the cost of which may exceed the purchase price. The only guarantees about the condition of this vehicle that I have are those I have in writing.

4. (4) I declare that I have examined the vehicle and that it is described accurately; furthermore, the public vehicle identification number is __and is on the vehicle.

   The customer shall sign the form four times, once after each statement. The dealer shall keep the original of all customer's declarations stored in a safe place for a minimum of three years, after which he may dispose of them. Failure to obtain a customer's declaration signed after each statement will result in the treating of the sale as the sale of a used vehicle.