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Classic Car Appraisal Worksheet

1.      First Name

2.      Last Name

3.      Middle Initial

4.      Title

5.      Street Address

6.      City

7.      State

8.      Zip

9.      Work Phone

10.  Home Phone

11.  Today's date :

12.  Enter your name as it appears on your credit card.

13.  Enter your credit card expiration date.

14.  Enter your credit card number in the space provided below.

15.  Please provide the Year

16.  Make,

17.  Model

18.  VIN#

19.  Enter the general condition of your classic.

20.  License Number & State

21.  Enter Size and Number of Dents, Dings, and Scratches

22.  Condition of Air Conditioning

23.  Radio/Stereo Make & Type

24.  Enter Odometer Reading

25.  Exterior Paint Color & Condition

26.  Rust Location & Amount

27.  Enter Tire Size, Brand, & Tread wear

28.  Enter Wheel Type & Make

29.  Enter Dashboard Condition

30.  Enter Interior Door Panel Condition

31.  Enter Seat Condition & Quality

32.  Enter Door Panel condition

33.  Enter Headliner Condition

34.  Enter Motor Size and Condition

35.  Enter Transmission Condition

36.  Enter Suspension Condition

37.  If your classic is a Convertible does it have both Hard and Soft Tops?

38.  Enter condition of Tops

39.  Enter condition of Shocks

40.  Enter condition of Steering

41.  Enter condition of Brakes

42.  Enter Heater condition

Affordable Classics Inc. 19895 SE McLoughlin Blvd.. Milwaukie Oregon 97267 Telephone 503-653-4030 Fax 503-653-1422