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Customer Info
Name
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Email
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Year
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Make
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Model
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Trim
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Miles
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VIN
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Engine Type
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4
6
8
Diesel
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Color
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Transmission
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Automatic
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How many miles on your car?
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Is the odometer accurate?
Yes
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When was your last oil change?
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How many miles on tires?
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When was last tuneup?
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Did you purchase your vehicle new?
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Yes
No
Has your vehicle ever been damaged?
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Yes
No
Has airbag ever been deployed?
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Yes
No
If yes, describe damage:
Has title ever been classified as a salvage title?
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Yes
No
Does vehicle have locking lug nuts?
*
Yes
No
Extra keys?
*
Yes
No
Locking gas cap?
*
Yes
No
Spare tire?
*
Yes
No
Jack?
*
Yes
No
What equipment will be removed?
May a prospective buyer contact you about the vehicle?
Yes
No
Fabric protector?
Yes
No
Paint sealant?
Yes
No
Does your vehicle have a balance on an extended warranty?
Yes
No
What was the original term and mileage of the extended warranty?
What fuel mileage are you getting now?
Has vehicle ever had flood damage?
Equipment
Interior condition?
Exterior condition?
Glass Condition?
Tire Condition?
SES Light On?
Any Undisclosed damage?
Additional Equipment:
IDHL7E
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I hereby certify the above to be complete and accurate to the best of my knowledge. if any of the above statements are determined to be inaccurate, dealer retains the right to rescind sale.