Online Appraisals

    Contact Information

    Owners Name*:

    Phone:

    Email*:

    Address:

    City:

    State:

    ZIP:

    Date:

    Vehicle Information

    Vehicle Year*:

    Make*:

    Model*:

    Note if car is a 2 Door Hardtop/Sedan/Convertible/4-door etc:

    Is vehicle in running condition?

    Clear or Salvage Title?

    VIN Number:

    Engine Size:

    Type of Transmission:

    Odometer Reading:

    Actual Mileage:

    Power Accessories:

    Additional or Aftermarket Accessories:

    Modifications:

    Equipment:

    Air ConditioningPower BrakesPower SteeringPower WindowsPower LocksCruise ControlTilt WheelPower AntennaPower Top

    Seats:

    PowerBucketBenchSplitLeatherVinylClothVelourSeat Covers

    Options:

    MirrorsPadded DashClockSeat BeltsTutone PaintTinted GlassDual ExhaustPositractionFender SkirtsRocker MoldingSun VisorSpot LightTachometerRadioStereo SystemCD/DVD/IpodTape PlayerOriginal Radio

    Exterior Condition - Mark which applies to your vehicle

    Paint Finish:

    Paint Scratches/Chips:

    Underhood Paint:

    Body Panels:

    Body Alignment:

    Glass:

    Bumpers:

    Tires:

    Wheels/Wheel Covers:

    Moldings & Emblems:

    Grille:

    Tail Lights & Lenses:

    Undercarriage:

    Convertible Top:

    Comments:

    Interior Condition

    Dash Pad:

    Visors & Headliner:

    Door Panels/Arm Rest:

    Carpeting:

    Seat Upholstery:

    Door Sill Plates:

    Instrumentation:

    Window & Roof Seals:

    Floor Condition:

    Trunk Floor:

    Trunk Weatherstrip:

    Trunk Paint:

    Comments:

    Documentation:

    Receipts:

    History:

    Additional Notes/Comments:

    I certify that to the best of my knowledge and belief all of the information on this form is correct:

    * Required

    *I will need pictures emailed to me of the Front of the vehicle, Back, Sides, Interior, Engine Bay and Odometer Reading. Email along with this Form to moparmuscle66@att.net

    After reviewing pictures of your car and your Appraisal Collection Form, we will complete your appraisal and the report will be delivered to you within 7 days after payment receipt. This Appraisal report is $200.00.