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Title Mrs. Mr. Ms. First Name Last Name Street City State SelectAL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip E-mail Day Phone - - Evening Phone - - Year Model Color VIN # Mileage Engine Doors 2 3 4 5 Transmission Select Transmission Automatic Manual Drivetrain  2WD 4WD AWD

Air Conditioning CD Player / Changer Power Windows Sun Roof Power Locks Alloy Wheels Power Seats Spoiler Cruise Control Leather Interior AM / FM Stereo Cassette Power Steering Please Rate Your Vehicle On A Scale Of 1 To 10 (10 is Perfect): Body (dents, dings, rust, rot, damage)  1 2 3 4 5 6 7 8 9 10 Tires (tread wear, mismatched)  1 2 3 4 5 6 7 8 9 10 Engine (running condition, burns oil, knocking)  1 2 3 4 5 6 7 8 9 10 Transmission/Clutch (slipping, hard shift, grinds)  1 2 3 4 5 6 7 8 9 10 Glass (chips, scratches, cracks, pitted)  1 2 3 4 5 6 7 8 9 10 Interior (rips, tears, burns, faded/worn, stains)  1 2 3 4 5 6 7 8 9 10 Exhaust (rusted, leaking, noisy)  1 2 3 4 5 6 7 8 9 10

Was It Ever A Lease Return or Rental Return?  Yes No     Is The Odometer Operational and Accurate?  Yes No   If The Odometer is not Operational and Accurate, was it ever replaced? If so, at what mileage?      Detailed Service Records Available?  Yes No     Is There A Lienholder? Where Are They Located?      Who Holds The Title?      How much is owed on the vehicle?

Does All Equipment / Accessories Work Properly?     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?

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