| Value Your Trade: |
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| Your Contact Information: |
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| Your Vehicle Information: |
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| Picture: |
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| Your Vehicle Features: |
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| Please Rate Your Vehicle On A Scale Of 1 To 10 (10 is Perfect): |
| Body (dents, dings, rust, rot, damage): |
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| Tires (tread wear, mismatched) |
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| Engine (running condition, burns oil, knocking): |
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| Transmission/Clutch (slipping, hard shift, grinds): |
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| Glass (chips, scratches, cracks, pitted): |
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| Interior (rips, tears, burns, faded/worn, stains): |
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| Exhaust (rusted, leaking, noisy): |
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| Other Information About Your Vehicle: |
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| Does all equipment and accessories work correctly? |
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Did you buy the vehicle new? |
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Has the vehicle ever been in any accidents? Cost of Repairs? |
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Is there existing damage on the vehicle? Where? |
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| Has the vehicle ever had paint work performed? |
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Is the title designated "Salvage"or "Reconstructed"? Any other title
declarations? |
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| Comments: |
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