Accurate Auto Appraisers - Late Model Order Form

Name: ___________________________________________________ Email: __________________
Address:__________________________________________________
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: _____________________________________________

Equipment
Automatic Transmission: ____ Tilt steering wheel: _____ Power steering: _____
Air conditioning: _____ Leather: ______ Power windows: _____
ABS Brakes: _____ Sunroof: _____ Power Door locks: ____
Sound: ______ Cruise control: _____ Power seats: ______
Other 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: _______________

A - EXCELLENT, B - VERY GOOD, C - GOOD, D - POOR, F - VERY BAD

Print this Order Form

Credit Card payment via PayPal online
Include pictures of the vehicle:
Engine, Exterior, Interior

Email: form@AccurateValue.com
Fax (302) 372-3402
Home Page: www.AccurateValue.com

We will mail you a written appraisal including:

Grading Descriptions
Fair Market Appraisal