Vehicle Offer Request -Complete the information below and we will e-mail you a Vehicle Offer within 2 HOURS between 9AM-9PM. -You can also Call Us 24 Hours/7 Days at (631)823-5003 for a Vehicle Offer.Owner Information Full Name* Zipcode where vehicle is located* Your Email (For us to send a Guaranteed Vehicle Offer)* Vehicle Information Year*2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950Older VehicleWhat YEAR is your vehicle?* Make* Model* Body Type*CAR - 2 DoorCAR - 4 DoorCAR - WagonSUV - 2 DoorSUV - 4 DoorVAN - Regular LengthVAN - Extended LengthPICKUP TRUCK - Regular CabPICKUP TRUCK - Extended CabPICKUP TRUCK - Crew CabOTHERWhat OTHER Body Type is your vehicle?* Trim Level -The "Trim Level" is also known as a "Sub Model" such as LX, GT, SE, LIMITED, etc. -Including this information will provide a more ACCURATE Vehicle Offer.What is the approximate MILEAGE on the Odometer?* Do you have the TITLE for this vehicle?*Clean TITLE with NO LIENS SHOWN on FRONTTITLE WITH a LIEN SHOWN on FRONTLIEN on TITLE but have a LIEN RELEASESalvage/Rebuilt TITLEDo NOT have a TITLEDo all the TIRES have air?*ALL Tires have air1 Tire is flat2 Tires are flat3 Tires are flat4 Tires are flatVehicle has MISSING WheelsWhere are the FLAT TIRES located on the vehicle?* Driver Side FRONT Passenger Side FRONT Driver Side REAR Passenger Side REAR Which WHEELS are MISSING?* Driver Side FRONT Passenger Side FRONT Driver Side REAR Passenger Side REAR Do you have KEYS for the vehicle?*Yes, I have keysNO, I do NOT have keysDoes the vehicle START at this time?*Yes it startsIt will start with a jumpNO it will NOT startAre the ENGINE, TRANSMISSION and BATTERY complete under the hood?*YES - Engine, Transmission and Battery are COMPLETENO - Parts are NOT COMPLETEIs the BATTERY missing from the vehicle?*YES - Battery is missingNO - Battery is NOT missingAre the ENGINE or TRANSMISSION removed from the vehicle?*YES - ENGINE or TRANSMISSION is removedNO - ENGINE or TRANSMISSION are NOT removedWhat is missing under the hood?* Does the vehicle DRIVE at this time?*YES it drivesNO it will NOT driveDoes the vehicle have any DENTS or DAMAGE larger than the palm of your hand?*No, nothing major just some scratches and dings.YES, it has some exterior damage or rust.Where are the DENTS or DAMAGE located?* Driver Side FRONT Passenger Side FRONT Driver Side REAR Passenger Side REAR Are all EXTERIOR PARTS (doors, bumpers, hood, etc.) attached to the vehicle?*Yes, all exterior parts are attached.NO, at least ONE exterior part is loose, broken or missing.Where are the loose, broken or missing exterior parts located on the vehicle?* Driver Side FRONT Passenger Side FRONT Driver Side REAR Passenger Side REAR Are any GLASS, MIRRORS or LIGHTS missing or damaged?*No, all glass, mirrors and lights are there with no damage.YES, at lease ONE glass, mirror or light is loose, missing or damaged.Where are the missing or damaged glass, mirrors or lights located on the vehicle?* Driver Side FRONT Passenger Side FRONT Driver Side REAR Passenger Side REAR Does the INTERIOR of your vehicle have any major damage or missing parts*No, all interior parts are in good condition.YES, some interior parts are missing or damaged.What matters are the Airbags, Seats and Dashboard. Small damage like spots or scratches doesn't matter.Has your vehicle ever been in a FIRE or FLOOD?*No, it has not been in a fire or flood.YES, it has some fire or flood damage.What is your ASKING PRICE for this vehicle?* (OPTIONAL) Include any extra information you would like us to know
