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I have 2012 F350 long bed and with factory tailgate with about 8" of clearance. I have a very nice 5th wheel tailgate thats sitting in the shop because the factory gate takes two men and a boy to take it off the truck. I'm just extra careful and will use the good wife to monitor clearance with the factory gate in place. Yes the truck must be backed in straight and with any angle it's going to hit. My hitch is a Reese that's installed exactly to fit the factory holes in the frame. Since our trucks are the same body style your hitch must be set too far forward if you are backing in straight and hitting the cargo door.
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