Trade in Appraisal Form for: West Roxbury Motors, Inc. * indicates required fields.

Your Contact Information: *First Name: *Last Name *Phone Number: Other Phone: *Email: Best Time To Contact: Morning Lunchtime Evening Weekend

Vehicle Information: *Year: *Make: *Model: Color: *VIN#: *Mileage: Engine: Doors: 1 2 3 4 5 Transmission: Automatic Manual Drivetrain: 2WD 4WD AWD Your Estimated Value:

Vehicle Options: Air Conditioning: CD Player / Changer: Power Windows: Sun Roof: Power Locks: Alloy Wheels: Power Seats: Spoiler: Cruise Control: Leather Interior: AM / FM Stereo: Cassette: Power Steering:

Please Rate Your Vehicle On A Scale Of 1 To 10 (10 is Perfect): Body (dents, dings, rust, rot, damage): 1 2 3 4 5 6 7 8 9 10 Tires (tread wear, mismatched): 1 2 3 4 5 6 7 8 9 10 Engine (running condition, burns oil, knocking): 1 2 3 4 5 6 7 8 9 10 Transmission/Clutch (slipping, hard shift, grinds): 1 2 3 4 5 6 7 8 9 10 Glass (chips, scratches, cracks, pitted): 1 2 3 4 5 6 7 8 9 10 Interior (rips, tears, burns, faded/worn, stains): 1 2 3 4 5 6 7 8 9 10 Exhaust (rusted, leaking, noisy): 1 2 3 4 5 6 7 8 9 10

Other Information: Was it ever a lease or rental return? Yes No Is the odometer operational and accurate? Yes No Detailed service records available? Yes No Is there a lienholder? If so who? Who holds this title? Does all equipment and accessories work correctly? Did you buy the vehicle new? Has the vehicle ever been in any accidents? Cost of repairs? Is there existing damage on the vehicle? Where? Has the vehicle ever had paint work performed? Is the title designated "Salvage"or "Reconstructed"? Any other title declarations? What Vehicle are you looking to trade for? Please enter our Stock number or Year, Make & Model. Additional Comments? Enter CAPTCHA code below to Continue: (Case SenSitive)