Date:
/
/
Auto
A ppraisal
F orm
Name:
___________________________________
Account
N umber:
_ _________________
Type
o f
V ehicle:
_ _______________________________________________________________
Mileage:
_ _____________________________________________________________________
VIN:
_ _________________________________________________________________________
Make:
_ _______________________________________________________________________
Model:
_ _______________________________________________________________________
Year:
_ ________________________________________________________________________
Series:
_ _______________________________________________________________________
Number
o f
D oors:
_ ______________________________________________________________
2
o r
4
W heel
D rive:
_ _____________________________________________________________
Special
F eatures:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________