About 15 years ago I install a NV4500 from an unknown year. I had the transmission rebuild, the NP205 rebuilt, used the engine bell housing from advance adaptors, and the NV4500 to NP205 round adaptor from Advance Adaptor, external hydo clutch linkage, Ebay, used clutch peddle assy. It was all simple to install but very heavy. Brand new Pace Truck 350 crate engine. (There is an OEM 3/4" steel rod that goes from the motor to the transfer case. Mixed opinions on if it needs to go back on. Some say if you do not use it in 4 wheel drive low one of the housings may crack under heavy load.) Was not completely happy with the outcome. Even with the new engine 5th gear is too high of a ratio. The ratio from 3rd to 4th seems too large. I went from an automatic to this manual setup. I am thinking the axles ratios need to be changed. However if I had a bigger motor the ratio and gas mileage may just be perfect. If you plan on keeping the truck for a long time your old knees will start hurting when having to use the clutch a lot. After owning the truck for over 30 years if I would have had a crystal ball I should have gone with a 4L80E even though I have always preferred Manuals in a truck. I never changed the axle ratio, and never use 5th gear and learn to be happy just to have a nice shifting 4 speed transmission and about 4 mpg improved gas mileage. (this is all ready a long post but till you add in the cost of the proper axle gearing and all of the other cost I would hold off on going forward with the NV4500 till that is all fully understood. )