fields marked with (*) are required

Contact Information

*First Name:  
*Last Name:  
*Phone Number:   Alternate Number:
*Email:     Preferred Contact Time:



Vehicle Information

*Year:   *Make:  
*Model:   *Mileage:  
VIN: Ext Color:
Engine: Doors:
Transmission: Drive Train:

Vehicle Rating

Body (dents, dings, rust, rot, damage)
Tires (tread wear, mismatched)
Engine (running condition, burns oil, knocking)
Transmission / Clutch (slipping, hard shift, grinds)
Glass (chips, scratches, cracks, pitted)
Interior (rips, tears, burns, faded/worn, stains)
Exhaust (rusted, leaking, noisy)

Vehicle History

Was it ever a lease or rental return?
Detailed service records available?
Is the odometer operational and accurate?

Title History

Are there any lienholders and where are they located?
Whe holds this title?

Vehicle Assessment

Are you looking to sell your vehicle, trade-in your vehicle or either?
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?

Do all options and accessories work correctly? Has the vehicle ever had paint work performed?
Is the title designated "Salvaged" or "Reconstructed"? Any other title declarations