Your Information
Name: Email Address: Phone Numbers: Daytime Phone: Evening Phone: Best Time to Call: How would you like us to contact you: Day Phone   Evening Phone   E-Mail
Vehicle Information
Year Make Model Trim Code (ex. SLE,GT,RS) Engine Mileage VIN Number Exterior Color Interior Color Additional Options Transmission automatic manual Drive Type 2 Wheel Drive   4 Wheel Drive   All Wheel Drive Interior Type Leather  Cloth
Exterior Condition
Body		Flawless			Some Dents / Dings		Damaged
Paint		Glossy			Dull / Chipped / Scratched		Poor / Peeling
Trim / Chrome		No Defects			Pitted / Faded / Chipped		Dull / Rusted / Missing
Glass		No Defects			Chipped / Pitted		Cracked
Lights / Lenses		No Defects			Cracked		Broken / Missing
Rust		None			Minor		Through the Body
Hail Damage		None			Minor		Major
On a scale of 1-10 rate your vehicles exterior:
What needs to be fixed to make your car a "10":
Interior Condition
Upholstery		Clean			Stained / Worn		Torn
Carpet		Clean			Stained		Torn
Interior Panels		Clean			Faded		Cracked / Damaged
Odor: Smoke / Mold		None			Some		Obvious
Air Conditioning		Working Condition			Not Installed		Needs Repair
Power Accessories or Instruments		All Operate					Repair or Replace Some
On a scale of 1-10 rate your vehicles interior:
What needs to be fixed to make your car a "10":
Mechanical Condition
Engine		Operates - No Leaks / Noises			Some Minor Noises / Seepage		Repair / Replace
Transmission		Operates - No Leaks / Noises			Some Minor Noises / Seepage		Repair / Replace
Steering		Tight / Trouble Free			Loose / Noises		Requires Repair
Suspension		Unaltered and Trouble Free			Altered / Worn Shocks		Noisy / Loose Requires Repair
Frame / Unibody		Straight			Repaired		Damaged
Brakes		Not Worn over 50% life			Worn Pads less than 50% life		Requires Repair
Tires		Not Worn & Correct Size & All Match			Some Wear & All Match		Replace - Worn / Mismatch
On a scale of 1-10 rate your mechanical condition:
What needs to be fixed to make your car a "10":
Miscellaneous
Title-"Pink Slip"		Clean Title History					Branded - "Salvage," "Flood," etc.
Registration		Current			Fees Required		Expired
Service/Maintenance		On Time & Current			Some Done		Not Done
Records		All Available			Some Available		Not Available
Emissions/Safety		Pass			Some Work Needed		Failed or Gross Polluter
Body Repair Done		None			Minimal		Major
Body Repair Required		None			Minimal		Major
What is the best /  worst part about your vehicle?
Any additional comments for us to help you get the best deal?
Name of your salesman?