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Zip:

Trade-in Interior Fabric:

Trade-in Interior Color:

Trade-in Cyl:

Trade-in Engine:

Trade-in VIN:

Trade-in Transmission:

Trade-in Lienholder:

Trade-in Payoff:

Has your vehicle ever been involved in a collision? Select an Option Yes No N/A

If yes, was a Body Shop estimate of repairs written? Select an Option Yes No N/A

What was the amount?

Any bodywork Need performed currently? Select an Option Yes No N/A

Does the stereo system or any of its components need repairs? Select an Option Yes No N/A

Do all of the gauges and dash functions work? Select an Option Yes No N/A

Does the engine need any repairs? Select an Option Yes No N/A
Please Detail:

Does the transmission need any repairs? Select an Option Yes No N/A
Please Detail:

Is the clutch slipping or need any repairs? Select an Option Yes No N/A

Has the transmission or engine ever been replaced? Select an Option Yes No N/A

Are the brakes squeaking or in need of repair? Select an Option Yes No N/A

Is the vehicle air bag in working order? Select an Option Yes No N/A

Has the vehicle air bag ever been deployed? Select an Option Yes No N/A

Do you have any of the service records for this vehicle? Select an Option Yes No N/A

Do you have records for any oil change within the last 5000 miles? Select an Option Yes No N/A

Is the catalytic converter attached and working properly? Select an Option Yes No N/A

Has the spare tire ever been used? Select an Option Yes No N/A

Do any of the tires need to be replaced? Select an Option Yes No N/A

Is the pollution control equipment attached and working properly? Select an Option Yes No N/A