800-306-4896
3987 North Mayo Trail · Pikeville, Ky 41501
Walters Mazda Mitsubishi Trade-In Appraisal Form
* Required Fields
Please give us some information about you Checkmark any options this vehicle has
First Name *
Last Name *
Zip Code *
Contact Phone *
E-mail Address *
Best way to contact
Air ConditioningAlloy Wheels
AM/FM StereoCassette
CD Player / ChangerCruise Control
Leather InteriorNavigation System
Power LocksPower Seats
Power SteeringPower Windows
Rear DVD EntertainmentSatellite Radio
SpoilerSunroof
Please provide some info about the vehicle
Year
Make
Model
VIN *
Exterior Color
Mileage
Doors
Transmission
Drivetrain
Please rate the condition of the following on your vehicle from 1 to 10 (with 10 being mint condition)
Body (no dents, dings, rust, rot, damage)
Tires (no tread wear, mismatching)
Engine (no running conditions, burning oil, knocking)
Transmission / Clutch (no slipping, hard shifting, grinding)
Glass (no chips, scratches, cracks, pitted)
Interior (no rips, tears, burns, faded/worn, stains)
Exhaust (not rusted, leaking, noisy)
Please answer the following questions about the vehicle
Was this vehicle ever a lease or rental return?
Is the odometer operational and accurate?
Are there detailed service records available?
Is there a leinholder?
If so, where is the leinholder located?
Who holds the vehicle title?
Include as many requested photo shots of the vehicles as you can
Outside,
Vehicle Front
Outside,
Drivers Side
Outside,
Passengers Side
Outside,
Vehicle Rear
Inside,
Front Seats
Inside,
Back Seats
Inside,
Dashboard
Under
the Hood
Does all equipment and accessories function correctly?
Did you purchase this vehicle new?
Please list all accidents this vehicle was involved in and the repair costs.
Please list any existing damage on this vehicle and where.
Please list any paint work performed on the vehicle.
Is the title designated "Salvage" or "Reconstructed?" List other title declarations, if any.
Comments
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