Auction:*
Name:*
Company:
Address:*
Home Phone:*
City:*
Cell Phone:
State/Province:*
Other Phone:
Zip/Postal Code:*
Fax Number:
Email:*
Website:
VIN/Stock:*
Clear Title:
Year:*
Transmission:
Make:*
Engine Size:
Model:*
Engine Number:
Body Style:
Mileage:
Numbers Matching:
Mileage Type:
Actual Miles
Not Actual Miles
Miles on Restoration
Mileage Unknown
Odometer Reading
Has this vehicle been restored?* (If no, proceed to next section.)
When:
By Whom:
Body off frame:
Mileage since:
Please describe in detail the restoration of this vehicle, i.e. what has been restored, items restored to original, added features, etc.
Color:*
Please check all that apply:
Factory Name:
Tires:
Wheels:
Please describe the exterior condition in detail. Paint or laquer? Clear coated? If repainted, where and when? Was the trim taken off of the vehicle prior to painting? Condition of trim and chrome. Describe any touch ups, bondo, etc.
Has this vehicle ever been involved in an accident or obtained other damage?(If no, proceed to next section.)
If so, please describe in detail the accident/incident, repairs and dates:
Color:*
Floor Mats?
Surface Material:*
Fully Detailed?
Describe interior condition in detail. Include any rips, stains, etc. as well as knobs, instruments, gauges that do not function. Has anything been replaced? If so, when and by whom? Is it all original and if replaced, was it to the original type?
Is there any rust on the engine, drivetrain, etc.?
If yes, please explain in detail :
Describe the suspension, how it handles, etc.
What is the condition of the frame? Is there rust, is it bent, etc.? Explain in detail.
Please check all that apply
Describe any other options and features not listed here. Also explain items that do not work, missing, etc.
Describe the overall condition of the vehicle. Be very detailed and honest as you cannot provide too much information! Make sure that you indicate special features (i.e. number 12 of 50 made), awards won, etc.
Your opinion of auction market value?*
How did you hear about this auction?*
I understand that submission of this form does not guarantee placement of my vehicle into auction by The Worldwide Group. I also agree that everything stated in this submission is true and correct to the extent of my knowledge.
Name:*
Date:
TForce Solutions