Form Freds Auto Removal Vehicle Year Vehicle Make Vehicle Model VIN (Optional) Mileage ZIP Code Title Status Clean Salvage or Rebuilt Missing or No Title Are all tires inflated and attached? Yes No If no, which wheel is missing/flat? (e.g., driver-side front) Does it have a working key and battery? Yes No Vehicle Starting Status Drives Start(but doesn't drive) No Start Engine/Transmission Condition Intact Missing Parts Removed Is the body free of damage larger than a baseball? Yes No If no, where is the damage? (e.g., passenger-side rear) Are all body panels intact? Yes No If no, which panel is damaged? (e.g., driver-side front) Are all mirrors, glass, and lights intact? Yes No If no, what is damaged? (e.g., driver-side mirror) Is the interior intact? Yes No Is it free of flood or fire damage? Yes No Your Email Address Full Name (as it appears on the check) First Name Last Name Phone Number Pickup Street Address Pickup City Pickup State Pickup ZIP Code Vehicle Color VIN Send
