TRADE- IN EVALUATION FORM

First Name	Last Name
Home Phone	Work Phone
How do you prefer to be contacted? Snail Mail Email Phone	Email Address:
Password	Confirmation
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VEHICLE OVERVIEW
Vehical Manufacturer:	Vehical Year:
Vehical Model:	Vehical Style:
Exterior Color:	Interior Color
17 Character VIN #	Mileage
VEHICLE PAYMENTS AND FINANCING
Are you currently making Loan Payments on your Car? Yes No
If YES fill out the following information:
Current Monthly Payment:	Months Remaining:
Lien Holder:	Payoff Date:
Net Payoff:	Purchased New? Yes No
How many miles did your car have when you purchased it?
Vehical Details
Exterior Condition: Good Fair Excellent Interior Condition Good Fair Excellent
Does all equipment on your vehicle work properly? Yes No
If No, Explain:
Is the current odometer reading on the car correct? Yes No
Are the original catalytic converter and all original emissions equipment on the vehicle? Yes No
Was the vehical in an accident? Yes No	Would you recommend this car? Yes No
Additional Comments:
To the best of my knowledge, the information included in this form accurately reflects the current state and condition of my car