SAXON
USED VEHICLE CONDITION REPORT
FLEET SERVICES
7571 9th St. N. • Oakdale, MN 55128 • Office (651) 222-7321 • Fax (651) 222-1998
Company/ Name: ___________________________________
Attention: ______________________________
INCLUDE A COPY OF YOUR TITLE OR REGISTRATION WHEN SUBMITTING THIS FORM
Year
Make
Model
Trim
Body
Serial Number (VIN)
License Plate
Exterior Color
Interior
Engine
Transmission
( ) Cloth ( ) Leather ( ) Vinyl
( ) 8cyl ( ) 6cyl ( ) 4 cyl
( ) Automatic ( ) Manual
( ) Diesel
Air Conditioner
Radio
Equipment
( ) Yes ( ) No
( ) AM/FM ( ) CD
( ) P. Windows ( ) Tow Package ( ) Sunroof
( ) Dual Zone Climate
( ) Bluetooth ( ) Navigation
( ) Cruise ( ) P. Locks ( ) P. Seat ( ) Tilt
Estimate the number of miles this vehicle will be driven
Present Mileage ______________________________
in the next 30 Days ______________
How many miles do you drive it in a month?
( ) Actual ( ) Over 100,000 ( ) Unknown
BODY CONDITION > Describe Dents, Creases, Rust, Condition of Paint
Front/Hood ___________________________________________________________________________________
Left Side _____________________________________________________________________________________
Rear ________________________________________________________________________________________
Right Side ___________________________________________________________________________________
Roof ________________________________________________________________________________________
Bumpers/Wheel Covers _________________________________________________________________________
Mldgs/Grill/Tailgate ____________________________________________________________________________
WINDSHIELD ( ) OK ( ) Cracked ( ) Chipped ( ) Scratched – Where? _________________________________
Other Glass ___________________________________________________________________________________
TIRES (Good, Fair, Poor) L. Frt. ______ R. Frt. ______ L. Rear ______ R. Rear ______ Spare ______
INTERIOR CONDITION ( Worn, Torn, Stained, Soiled, Burn Holes)
Front Seat ___________________________________ Rear Seat _______________________________________
Headliner ___________________________________ Carpets _________________________________________
Trunk/Cargo Area ____________________________ Other __________________________________________
MECHANICAL CONDITION
Engine _____________________________________ Transmission ____________________________________
Drivetrain __________________________________
Brakes _________________________________________
Front End __________________________________
Exhaust System __________________________________
Air Conditioner _____________________________
Other __________________________________________
ANY MISREPRESENTATION OF THE ACTUAL VEHICLE CONDITION ON THIS FORM VOIDS THE
APPRAISED TRADE VALUE OFFERED BY SAXON FLEET SERVICES. IN THE EVENT OF A CHANGE IN
CONDITION, THE OWNER AGREES TO IMMEDIATELY NOTIFY SAXON FLEET SERVICES FOR RE-
EVALUATION. CUSTOMER SHALL INDEMNIFY SAXON FLEET SERVICES FOR ANY
MISREPRESENTATION OF THE ACTUAL VEHICLE CONDITION.
Authorized Signature
Title
Print Name
Date