Here's a good read:
Importation and Certification FAQ's Directory--All Vehicles
If the vehicle you are seeking to import is a RHD, even if there were a U.S.-certified left-hand version of that vehicle, it might not be considered "substantially similar" for import eligibility purposes. Our experience has shown that the safety performance of RHD vehicles is not necessarily the same as that of apparently similar left-hand drive vehicles offered for sale in this country.
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1953 Cadillac Coupe De Ville (Fuel Injected, Drive-by-wire, DoD)
2009 Pontiac G8 GT (6.0l V8 Sleeper)
2011 Toyota Sequoia Sport 4x4 (Tow Rig)
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www.HotRodCaddy.com