Name:
Phone #:
Email:

VIN:

1.	Are you the original owner?
	Yes No

 

2.	Do you have a free and clear title? Select 'No' if your vehicle is leased or financed.
	Yes No

 

3.	Does your vehicle have a clean history report? (title, mileage, accidents, etc.)
	Yes No Not Sure

4.	Has anyone smoked in this vehicle or does it have other odors?
	Yes No

5.	Are complete service records available?
	Yes No

6.	Are 2 sets of keys and alarm pads (if applicable) available?
	Yes No

7.	Has this vehicle been to an auto auction in the last 45 days?
	Yes No

8.	Is the CD/DVD navigation disc present?
	Yes No Does Not Apply

9.	Do you have the date of your last major service (costing $200 or more)?
	Yes No

10.	Has an insurance claim ever been filed on this vehicle?
	Yes No

11.	Has this car ever been used as a rental car?
	Yes No