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DALE WILLEY AUTOMOTIVE
2840 Iowa Street
Directions
Lawrence
,
KS
66046
Contact
:
(785) 727-1124
Service
:
(785) 727-1125
Parts
:
(785) 893-6771
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Vehicle Information
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Year
*
Make
*
Model
*
VIN
*
Mileage
*
Engine
Exterior Color
Transmission
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Automatic
Manual
Doors
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2
3
4
5
Drivetrain
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2WD
4WD
AWD
Options
Options
Air Conditioning
Air Conditioning Power Windows
Power Locks
Power Seats
Leather Interior
Cruise Control
Navigation System
Sunroof
DVD Player
Alloy Wheels
Satellite Radio
CD Player / Changer
AM/FM Stereo
Cassette
Spoiler
Vehicle Rating
Engine (running condition, burns oil, knocking)
Please Select
10 - Best
9
8
7
6
5
4
3
2
1 - Worst
Glass (chips, scratches, cracks, pitted)
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10 - Best
9
8
7
6
5
4
3
2
1 - Worst
Interior (rips, tears, burns, faded/worn, stains)
Please Select
10 - Best
9
8
7
6
5
4
3
2
1 - Worst
Transmission / Clutch (slipping, hard shift, grinds)
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10 - Best
9
8
7
6
5
4
3
2
1 - Worst
Tires (tread wear, mismatched)
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10 - Best
9
8
7
6
5
4
3
2
1 - Worst
Exhaust (rusted, leaking, noisy)
Please Select
10 - Best
9
8
7
6
5
4
3
2
1 - Worst
Body (dents, dings, rust, rot,
Please Select
10 - Best
9
8
7
6
5
4
3
2
1 - Worst
Vehicle History
Was it ever a lease or rental return?
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Yes
No
Is the odometer operational and accurate?
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Yes
No
Detailed service records available?
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Yes
No
Contact Information
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First Name
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Last Name
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Preferred Contact
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Email
Phone
Email
Phone
Postal Code
Comments
Vehicle Assessment
Do all options and accessories work correctly?
Has the vehicle ever been in any accidents? Cost of repairs?
Has the vehicle ever had paint work performed?
Did you buy the vehicle new?
Is there existing damage on the vehicle? Where?
Is the title designated 'Salvage'or 'Reconstructed'? Any other?
Did you buy the vehicle new?
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