I drive a 2013 Ford F-150 and it already had a receiver. I have a smaller trailer (8x10) that I use, but the hitch kept rattling while driving. The tiniest little bump made noise so I bought this to try and fix the problem. I installed it with ease and it has virtually eliminated the rattling when towing the trailer. The only thing I haven't done is haul something heavier like a 21ft bass so I'm not sure how it will hold up, but it works great with anything in the 500-1000lb range.
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