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Contact Info

First Name

Last Name

Phone

Vehicle Info

Year

Model

Trim/Package

VIN

Mileage

Engine

Features

Additional Features

Ownership & Condition

Do you own this vehicle?

Owned

Loan

Lease

How much do you owe on this vehicle?

Did you purchase this vehicle new?

Yes

Does your vehicle have a salvage or junk title?

Yes

Does your vehicle have any of the issues below?

Has been in a flood or fire

Major body damage

Minor dents and/or door dings

Scratches that expose bare metal

Visible rust

Rock chips in windshield or windows (larger than a dime)

Cracks in windshield or windows

Exterior Damage Summary Share details about any vehicle damage to the exterior of the vehicle

Does your vehicle have any of the issues below?

Has been smoked in

Rips/Tears or damage to the upholstery

Noticeable wear to the upholstery

Noticeable stains

Cracks or other damage to the dash

Interior Damage Summary Share details about any vehicle damage to the interior of the vehicle

Mechanical Checklist Check all that apply

Engine starts and idles properly

Engine accelerates and drives properly/smoothly

Brakes operate properly

Gauges operate properly (i.e. Speedometer, Oil, Fuel, Temperature, etc.)

The engine is free of leaks drips/fluid that is left on the ground

The muffler/exhaust is free of leaks and excessive noise

The transmission operates properly

Has the engine ever been replaced?

Yes

Has the transmission ever been replaced?

Yes

What is the remaining tread depth on the tires? % Remaining

Mechanical Summary Share details about any mechanical issues

Modification Summary Share details about any modifications made to the vehicle

Additional Comments

Photos

Exterior (Front)

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Exterior (Rear)

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Exterior (Drivers Side)

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Exterior (Passenger Side)

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Interior (Front)

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Interior (Back)

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Additional Comments

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(772) 360-8671

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