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* Required Fields
First Name
*
Last Name
*
Contact Phone
*
E-mail Address
*
Best way to contact
Any
Contact Phone
E-mail Address
Air Conditioning
Alloy Wheels
AM/FM Stereo
Cassette
CD Player / Changer
Cruise Control
Leather Interior
Navigation System
Power Locks
Power Seats
Power Steering
Power Windows
Rear DVD Entertainment
Satellite Radio
Spoiler
Sunroof
Year
Make
Model
Exterior Color
VIN
Mileage
Doors
2
3
4
5
More than 5
Transmission
Automatic
Manual
Drivetrain
2WD
4WD
AWD
Please rate the condition of the following on your vehicle from 1 to 10 (with 10 being mint condition).
Body (no dents, dings, rust, rot, damage)
...
1
2
3
4
5
6
7
8
9
10
Tires (no tread wear, mismatching)
...
1
2
3
4
5
6
7
8
9
10
Engine (no running conditions, burning oil, knocking)
...
1
2
3
4
5
6
7
8
9
10
Transmission / Clutch (no slipping, hard shifting, grinding)
...
1
2
3
4
5
6
7
8
9
10
Glass (no chips, scratches, cracks, pitted)
...
1
2
3
4
5
6
7
8
9
10
Interior (no rips, tears, burns, faded/worn, stains)
...
1
2
3
4
5
6
7
8
9
10
Exhaust (not rusted, leaking, noisy)
...
1
2
3
4
5
6
7
8
9
10
Was this vehicle ever a lease or rental return?
...
No
Yes
Is the odometer operational and accurate?
...
No
Yes
Are there detailed service records available?
...
No
Yes
Is there a leinholder?
...
No
Yes
If so, where is the leinholder located?
Who holds the vehicle title?
Does all equipment and accessories function correctly?
Did you purchase this vehicle new?
Please list all accidents this vehicle was involved in and the repair costs.
Please list any existing damage on this vehicle and where.
Please list any paint work performed on the vehicle.
Is the title designated "Salvage" or "Reconstructed?" List other title declarations, if any.
Comments
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