TRADE-IN QUESTIONNAIRE
Year:
    
Make:
    
Model:
    
Trim Level:
    
     
Transmission:
 Auto Manual  
4x4 2x4  
AWD    
   
Engine:
    
Miles:
    
     
Color:
Interior:
   
Exterior:
   
Features: Please check all that apply to your vehicle.
Cloth Leather  
A/C Power Windows  
Locks Tilt Wheel  
AM/FM Cassette  
CD Multi Disc Changer  
Navigation DVD System  
ABS Rear Spoiler  
Alloy Wheels Integrated Phone  
Moon Roof Side Air Bags  
Power Driver Seat Dual Seats  
Third Row Seat Roof Rack  
Running Boards Alarm  
Other:
   
Has vehicle ever been in the body shop?
 Yes No
If yes, please explain:
Amount of claim:    
Salvaged Title:
Yes No
Do you have all service records?
 Yes No
       

Vehicle Condition:
On a scale of 1 to 10 (ten being the highest score), please rate the following:

  
Paint: Note:
  Body: Note:
  Interior: Note:
  Seats: Note:
  Headliner: Note:
  Dash: Note:
  Tires: Note:
  Brakes: Note:
  Engine: Note:
  Transmission: Note:
       
  Windshield - chips/cracks: Yes No
  Knobs / Controls - working: Yes No
  If No, please explain:
       
 
Paid Off:
 Yes No
 
Lien Holder:
 
   
 
Your Name:
 (required information)
 
Telephone Number:
 (required information)
 

Email Address:

 (required information)
 

 

    
 
By whom were you referred?

  


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