Accurate Auto Appraisers - Pre 1975 Order Form
Name: ____________________________________________________ Email: ________________
City: _______________________ State: ____________________ Zip: __________________
Area Code: __________________ Phone: ___________________ Fax: __________________

Vehicle Information
License: _______________ Vehicle ID: _______________________________________________
Year: _________________ Make: ____________________ Model: ________________
Engine: _______________ Transmission: ______________ Length of ownership: ______
Odometer: _____________ Actual Mileage: ____________ Purpose of appraisal: ______
Insurance Co: _____________________________________________________________________________
Factory Options: ___________________________________________________________________________
Modifications: ____________________________________________________________________________

Condition Report
Body: _________________ Glass: _________________ Drive train: ____________
Paint: __________________ Interior: ________________ Wheels & Tires: ________
Chrome: ________________ Engine: ________________

Attach additional vehicle information if necessary.

Describe known problems: ____________________________________________

Do you have an opinion of the value? $___________ How much invested? $___________

Signature ____________________________________________

Using the the following descriptions rate the vehicles overall grade: _______________

1. Excellent: Perfect professional restoration or brand new. A 95+ point show winner that is not driven.
2. Fine: Superior restoration and/or extremely well maintained original.
3. Very Good: Completely operational original (some wear) or deteriorated or amateur restoration or a partially restored car with all necessary parts.
4. Good: Drivable and mostly usable as is. In need of restoration (considerable wear).
5. Restorable: May not be running, mostly complete.
6. Parts Car: Beyond restoration, above scrap.

Print this Order Form
Enclose Check or Money Order for $50
Credit Card payment via PayPal online
Include pictures of the vehicle:
Engine, Exterior, Interior

We will mail you a written appraisal including:

Grading Descriptions
Fair Market Appraisal