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2
Current Mileage
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3
What Options Does Your Car Have?
Rear Air Conditioning
Parking Aid
Leather Seats
Rear Entertainment System
Navigation System
Back Up Camera
Adaptive Cruise Control
Towing/Camper Pkg
Air Suspension
Lane Departure Warning
Passive Keyless Entry
Collision Avoidance System
Blind Spot Monitor
Driver's Seat Memory
Premium Sound System
HID Headlamps
Driver Assist Pkg.
Cooled/Heated Front Seats
Heated Rear Seats
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4
Have you made any modifications to your car?
Stereo System
Suspension
Wheels and Tires
Performance
Exhaust
Other
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5
Do you have 2 sets of keys?
YES
NO
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6
Has the car been in any accident?
YES
NO
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7
Condition of Car's Interior
seat wear and tear, fading from sun, flooring, etc.
Poor
Fair
Good
Great
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8
Exterior Condition
paint, tires, dings or scratches
Poor
Fair
Good
Great
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9
Mechanical Condition
parts needing to be replaced, any weird sounds when driving
Poor
Fair
Good
Great
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10
How many miles have you driven on your tires?
Under 5k
5k - 10k
10k - 20k
20k - 30k
More then 30k
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11
Does the car run and drive?
YES
NO
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12
Are there any active warning lights?
YES
NO
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13
Has your car been smoked in?
YES
NO
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14
Any hail damage?
YES
NO
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15
Any flood or fire damage?
YES
NO
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16
Contact Information
First Name
Last Name
Phone Number
Zip Code
Email Address
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