Vehicle Information



Vehicle Year _______________

Vehicle Make ______________

Vehicle Model ______________

Vehicle Trim Level __________

Coupe / Sedan / Van / Truck / SUV   (circle one)

Front Wheel Drive / Rear Wheel Drive / All Wheel Drive / 4 Wheel Drive   (circle one)

Vehicle Color ______________

Vehicle Miles ______________

Transmission Type __________  (auto or manual)

Engine Size   4cyl.  /  6cyl.  /  8cyl.  /  10cyl.  /  Diesel  /  Hybrid    (circle one)

Accessories Added (if any) ________________, _____________, _____________

______________, __________________, _________________, _____________


Driver and Passenger Air Bags - yes  /  no    (circle one)

Side Air Bags - yes / no

Head Curtain Air Bags - yes / no

Anti-Theft Devices - yes/no   If yes, what are they ______________________________________

VIN (the Vehicle Identification Number - you can find the VIN listed on your insurance policy or on a metal plate in front of the Drivers Seat where the Windshield meets the Dashboard. The VIN must be a combination of 17 numbers and letters)

___________________________________________________________


Sellers Name _______________________________________

Sellers Phone No. ____________________________________

Sellers e-mail _______________________________________


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