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Depends on the dealership. In some cases all they do is a vague inspection and fill out a form. If you are not mechanical have someone look over the car . Most dealers can give you the service history if it has had dealer service .
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In 2001, I purchased a Certified Pre-Owned 2000 Honda Accord. It came with a better warranty than a new car. Only problem, I paid a premium for the Certified vehicle, and I went well past the mileage without encountering any major issues. The only things replaced on that car by the time I sold it were motor mounts, alternator, and water pump. Granted, that was in addition to the fluid changes, belt changes, brakes, and tires, but I consider those normal wear items.
When I was in VW hate mode, I considered trading my 2013 GTI for a CPO G37 coupe. My only hangup is that I'd probably supercharge the G37, so it is pointless to pay a premium for a CPO car when I will void the drivetrain warranty anyway.