There are MANY F-250 and F-350 4x4s on the road pulling fifth wheels. In fact you can buy a preinstalled fifth wheel package directly from Ford and I don't think there's an issue with clearance, especially on an 8' bed. A non-scientific survey in the hundreds of campgrounds I've visited indicates to me F-250 is the most popular TV for fifth wheels, and many that I've seen are 4x4s. So in my humble opinion there's no issue here.
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DrLewie
Flemington, NJ
Former: 2007 Cardinal 30W LE
Now:2018 Arctic Fox 27-5L
2008 Ford F-250 Long Bed Diesel
Total of 30 Months on the Road Since 2008
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