Vehicle Information Form

Please provide us as much information possible and we will get back to you promptly with an general appraised value!

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Contact Information

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First Name

Last Name

Home Phone

Best Phone to Contact You

Email

Preferred Contact

Comments

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Vehicle Information

Year

Make

Model

VIN

Mileage

Engine

Ext. Color

Transmission

Doors

Drivetrain

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Options

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VEHICLE HISTORY

Was it ever a lease or rental return?

Is the odometer operational and accurate?

Detailed service records available?

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Title History

Are there any lienholders and where are they located?

Who holds this title?

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Vehicle Rating

Body (dents, dings, rust, rot, damage)

Engine (running condition, burns oil, knocking)

Glass (chips, scratches, cracks, pitted)

Exhaust (rusted, leaking, noisy)

Tires (tread wear, mismatched)

Transmission / Clutch (slipping, hard shift, grinds)

Interior (rips, tears, burns, faded/worn, stains)

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Vehicle Assessment

Do all options and accessories work correctly?

Has the vehicle ever been in any accidents? Cost of repairs?

Has the vehicle ever had paint work performed?

Did you buy the vehicle new?

Is there existing damage on the vehicle? Where?

Is the title designated "Salvage" or "Reconstructed"? Any other?

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