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| Year: | |
| Make: | |
| Model: | |
| Trim: | |
| Mileage: | |
| *Vin: | |
| Exterior Color: | |
| Transmission: | |
| Drive Train: | |
| Doors: | |
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| Air CondtioningPower WindowsPower LocksPower SeatsPower Mirrors |
| Rear Entertainment SystemKeyless EntryAnti-Lock BrakesSide Airbags |
| Daytime Running LightsCD (Single/multi)Navigation System |
| Sunroof-ClothSunroof-LeatherSeats-ClothSeats-Leather |
| Cruise ControlAlloy WheelsTrailering PackageAftermarket Add-Ons |
| Other Additional Options: | |
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| Body (Dents, dings, rust, rot, damage): | |
| Engine (Running condition, burns oil, knocking): | |
| Glass (Chips, scratches, cracks, pitted): | |
| Exhaust (Rusted, leaking, noisy): | |
| Tires (Tread wear, mismatched): | |
| Transmission/Clutch (Slipping, hard shift, grinds): | |
| Interior (Rips, tears, burns, faded/worn, stains): | |
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| Was your vehicle ever a lease or rental return?: | YesNo |
| Detailed service records available?: | YesNo |
| Is the odometer operational and accurate?: | YesNo |
| Did you buy the vehicle new?: | YesNo |
| Do all the options and accessories work correctly?: | |
| Has your vehicle ever been in any accidents? Cost of repairs?: | |
| Has your vehicle ever had paint work performed?: | |
| Is there any existing damage on the vehicle? Where?: | |
| Has the title designated Salvage or Reconstructed? Any other title declarations?: | |
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| *First Name: | |
| *Last Name: | |
| *Email Address: | |
| *Phone: | |
| Comments: | |
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