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VIN Number
Year
*
Make
*
Model
Does it drive?
*
It starts and drives
It starts but does not drive
It doesn't start
Car Title?
I have the original title
I don't have the title
Do you have registration form or insurance showing you own the vehicle?
Yes I have proof of Registration and/or Insurance
No, I don't have proof of ownership.
Original Catalytic Converter?
Yes, it's original
No, it's aftermarket.
No Catalytic Converter
Is mileage shown on the odometer?
Yes I can verify
Unable to verify
Odometer Reading
Does it have body damage?
It has no exterior damage.
It has damage that is baseball-sized or larger.
Indicate damaged locations
Rear Passenger Side
Rear Drivers Side
Front Passenger Side
Front Drivers Side
Any removed or loose exterior body panels?
Rear Passenger Side
Rear Drivers Side
Front Passenger Side
Front Drivers Side
Is there additional damage to the following:
mirrors
glass
lights
Select All
Does it have a key and a working battery?
it has a key and the battery is installed and functioning
It is missing the key and/or the battery is missing or dead
Are the wheels mounted and tires inflated?
All Wheels are mounted and tires are inflated
One or more tires are flat
One or more wheels are removed.
What wheel(s) are flat?
Rear Passenger Side
Rear Drivers Side
Front Passenger Side
Front Drivers Side
Select All
What wheel(s) are missing?
Rear Passenger Side
Rear Drivers Side
Front Passenger Side
Front Drivers Side
Select All
Name
*
First
Last
Phone
*
Email
Pickup Location
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Available Pickup Date:
*
MM slash DD slash YYYY
Best Pickup Time
*
Hours
:
Minutes
AM
PM
AM/PM
Name
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