Wacom Intuos4 Small PTK-440 pen tablet, pen, pen stand, and cable. The box and driver installation CD are not included. Basic operation of the pen, shortcut keys, etc. has been confirmed. The anti-slip pad on the bottom right is peeled off and missing. There is a general feeling of use, and the scratches on the top of the pen body are particularly noticeable. The pen nibs are all included, but some are likely not unused. Regarding operation, I have checked the basic functions as a layman, and confirmed that the shortcut keys, touch wheel, and pressure sensitivity are detected. I have cleaned it simply, but please refrain from purchasing if you are concerned about dirt or scratches as it is a used item. It will be packaged with water damage protection and cushioning materials such as bubble wrap, and will be loosely secured inside a cardboard box for anonymous shipping.