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Personal Information

First Name

Last Name

Email

Home Phone

Work Phone

Preferred Contact Time

Preferred Contact Method

Vehicle Information

Year

Make

Model

Package/Trim

Vin

Mileage

Engine

Color

Transmission Type

Drive Type

Please rate your vehicle on a scale of 1 to 10 (10 is perfect):

Tires (tread wear, mismatched)

Glass (chips, scratches, cracks, pitted)

Exhaust (rusted, leaking, noisy)

Transmission/Clutch (slipping, hard shift, grinds)

Engine (running condition, burns oil, knocking)

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

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

Was it ever a lease or rental return? Yes No

Is the odometer operational and accurate? Yes No

Detailed service records available? Yes No

Is there a lienholder? Yes No

Lienholder name

Who holds this title?

Does all equipment and accessories work correctly?

Did you buy the vehicle new?

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

Is there existing damage on the vehicle? Where?

Has the vehicle ever had paint work performed?

Is the title designated 'Salvage'or 'Reconstructed'? Any other title declarations?

Pictures

Exterior (Front)

Exterior (Rear)

Interior

Comments

Value Your Trade

Personal Information

Vehicle Information

Please rate your vehicle on a scale of 1 to 10 (10 is perfect):

Your Vehicle Features

Pictures

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