Preferred Contact Time 
							Choose One 
Any Time 
Morning 
Mid-Day 
Afternoon 
Evening 
 
							 
						
						
							Preferred Contact Method 
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Phone 
Email 
Text 
 
							 
						
					 
				 
				
				
				
					
						
						
							
								Transmission Type 
								Choose One 
Automatic 
Manual 
 
								 
							
						 
						
							
								Drive Type 
								Choose One 
2 Wheel Drive 
4 Wheel Drive 
All Wheel Drive 
 
								 
							
						 
					 
				
				 
				
					
						
Please Rate Your Vehicle On A Scale Of 1 To 10 (10 is Perfect): 
					
				 
				
					
						
							Body (dents, dings, rust, scratches, damage) 
							Choose One 
1 
2 
3 
4 
5 
6 
7 
8 
9 
10 
 
							 
						
					 
				 
				
					
						
							Tires (tread wear, mismatched) 
							Choose One 
1 
2 
3 
4 
5 
6 
7 
8 
9 
10 
 
							 
						
					 
				 
				
					
						
							Engine (running condition, burns oil, knocking) 
							Choose One 
1 
2 
3 
4 
5 
6 
7 
8 
9 
10 
 
							 
						
					 
				 
				
				
					
						
							Transmission/Clutch (slipping, hard shift, grinds) 
							Choose One 
1 
2 
3 
4 
5 
6 
7 
8 
9 
10 
 
							 
						
					 
				 
				
				
					
						
							Glass (chips, scratches, cracks, pitted) 
							Choose One 
1 
2 
3 
4 
5 
6 
7 
8 
9 
10 
 
							 
						
					 
				 
				
				
					
						
							Interior (rips, tears, burns, faded/worn, stains) 
							Choose One 
1 
2 
3 
4 
5 
6 
7 
8 
9 
10 
 
							 
						
					 
				 
				
					
						
							Exhaust (rusted, leaking, noisy) 
							Choose One 
1 
2 
3 
4 
5 
6 
7 
8 
9 
10 
 
							 
						
					 
				 
				
				 
				
				 
				
				
				
				
				
				
					
						
							Does all equipment and accessories work correctly? 
							
							 
						
					 
					
						
							Did you buy the vehicle new? 
							
							 
						
					 
				 
				
					
						
							Has the vehicle ever been in any accidents? Cost of Repairs? 
							
							 
						
					 
					
						
							Is there existing damage on the vehicle? Where? 
							
							 
						
					 
				 
				
					
						
							Has the vehicle ever had paint work performed? 
							
							 
						
					 
					
						
							Is the title designated 'Salvage'or 'Reconstructed'? Any other title declarations?