johnsons of enid chrysler dodge
Vehicle Appraisal Form

This form must be completed in order to receive a trade figure. Please realize the figure we give you is only as accurate as your description of the vehicle. If the vehicle is not as described we will adjust accordingly. By filling this form out and submitting or signing and faxing it, you are certifying that the condition of this vehicle is exactly as described.   If you wish, you may print the form, fill it out and fax it to us at (580) 237-4764.

Required fields are noted with a red "*". If unsure of a value enter "Unsure" in the field.
First Name* Last Name*
Address*
City* State/Zip*
 
Contact Phone* Email*
 

Year* Make* Model*
Color* Miles* VIN(Serial Number)*
Engine
# Cylinders* 4   6   8
10  12
Fuel Type* Gasoline Diesel
Flex/E85 Hybrid
Date of Last Oil Change
Please check all that apply
Automatic4-Wheel DriveAll Wheel Drive
Leather InteriorBedlinerRear Slider Window
Air ConditioningPower SteeringPower Windows
Power LocksTilt WheelCruise Control
AM/FM StereoCassetteSingle Compact Disk
Multiple Compact DiskDVD PlayerMP3 Player
Flip-up RoofSun RoofMoon Roof
Alloy WheelsPremium WheelsTow Package
Has your vehicle ever been in an accident?* Yes: No:
If yes, what was the cost of repairs?
Is there any existing damage to the vehicle?* Yes: No:
Where:
Is the title designated? (salvaged,etc)* Yes: No:
Do you have the vehicle's service records available?* Yes: No:
Would you sell this vehicle to a family member?* Yes: No:


Rate the following on a scale of 1 to 10 with 10 being perfect! Paint* :     Body* :     Tires* :     Engine* :     Transmission* :     Glass* :     Interior* :




Trade in Value: __________________

Payoff Information: If you have a loan on the vehicle, please provide the information we need to determine the exact payoff.

Bank/Credit Union

Loan Number    Bank/Credit Union Phone Number

By submitting or signing and faxing this form, I certify that the condition of the above vehicle is exactly as described to the best of my knowledge. I also understand that if the condition of the above vehicle is not as I described that value will be adjusted accordingly.

I agree with the above statement.

If printing out and faxing, please sign here: