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Please complete the form below
Describe your car accurately and honestly. Try to answer all of the questions. Appraisals will be complete within 48 hours after payment is received. If we have any questions we will contact you by phone or email. Final appraisals will be sent by email and also a signed copy will be sent by US mail.
Full Name::
   
Address:
(Street Number & Name)
   
State:
   
Zip Code:
   
Phone Number:
   
Email Address:
   
VIN Number:
   
Year:
   
Make:
   
Model:
   
Body Style (hardtop, conv, sedan):
   
Number of Doors:
   
Interior Color & Material:
   
Interior Condition, dash,seats,carpet(explain):
   
Exterior Color:
   
Exterior Paint Condition (explain):
   
Engine Size:
   
Is Engine original: yes no do not know
   
Transmission type:
   
Is Transmission Original: yes no do not know
   
Mileage Shown:
   
Is mileage original: yes no do not know
   
How long have you owned the vehicle:
   
Running & Mechanical Condition (explain):
   
Has vehicle been altered from original condition? yes no do not know
   
Is it matching numbers? yes no do not know
   
Do all lights work (explain):
   
Has vehicle been restored and when:
   
Type of restoration and by who (explain):
   
Sheet metal condition: Is there rust, bondo, etc?
   
Condition of underside: Floors and Frame. Is there rust throug, surface rust, etc? How much and where?
   
Condition of Chrome and Trim: Rusty of missing? Please explain.
   
Mileage since restoration:
   
Body Condition (rust,dents, etc.):
   
Glass condition (chips, cracks, broken)
   
Tire condition and age:
   
Air Conditiong: Does it work? Blow Cold? Please explain
   
Heater (does it work): yes no
   

Overall Condition of vehicle, #1-# 6 (explain):
>>condition code description link<<

   
Additional Information / Comments:
   
Purpose of appraisal insurance estate
plan to sell other
   

Payment Method

Pay Pal Money Order
   
Click Submit When Ready:
   
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SCAM Alert:
When a buyer offers to send more money than you are asking and wants you to send the balance to someone, it is a SCAM. Read our SCAM Alert page for more up to date informationon