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Stormin's Towing Equipment
Phone: 334-774-7138
Fax: 334-445-0494
Email: sales@stormins.com
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First Name:     Last Name:
Company Name:
Street Address:
Address (line 2)
City: State/Province: Zip:
Country:
Work Phone:     Cell Phone:
Fax:     Email:


Condition?
Chassis VIN#
Year?
Odometer
Salvage Title?
Specify Chassis
Chassis Model
Chassis Color
Cab Type
GVWR
Wheelbase
Engine
Engine Make
Engine Horsepower
Engine Rebuilt?
Engine Condition
Engine Serial #
Turbo?
Transmission
Rear Axle Ratio
Transmission Speeds
Transmission Rebuilt?
Transmission Condition
Clutch Condition
Brakes
Brake Condition
Fuel Tank(s)
Fuel Tanks?
Fuel Tank Size
Four Wheel Drive?
Tilt and Tel Wheel?
Cruise Control?
 
Power Steering Condition
Air Conditioning Condition
Windshield Condition
Bumper Condition
Body Condition
Paint Condition
Chassis Rust Condition
Seat Type
Seat Condition
Radio
Frame Condition
Rear Axle Configuration


Suspension
Front Axle Rims
Front Axle Tires
Left Front Tire Condition
Right Front Tire Condition
Rear Axle Rims
Rear Axle Tires
 
Front Tandem
Left Rear Outside Tire Condition
Left Rear Inside Tire Condition
Right Rear Inside Tire Condition
Right Rear Outside Tire Condition
List Repairs Needed and any Special Options:
How Does Truck Run And Drive?
 
Rear Tandem or S/A Only
Left Rear Outside Tire Condition
Left Rear Inside Tire Condition
Right Rear Inside Tire Condition
Right Rear Outside Tire Condition


Body Mfg?
Body Year?
BodyName(IE:Wrangler)
Body Model#
Body Serial#
Cab To Axle
Body Type
Capacity
Length
Body Width
Body Rails
Overall Bed Condition
Bed Rails
Bed Slide Pads
Subframe
Wheel Lift
Wheelift Condition
Winches
Winch Capacity
Winch Type
Winch Condition
CableSize
Cable Length
Cable Condition
Toolbox Quantity
Toolbox Size
Toolbox Type
Tool Box Condition
Hose Leaks?
Hydraulic Leaks?
Controls
Control(s) Condition
Other USABLE Options:











What is your trade worth?
What is your payoff?
Cost
Selling Price
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Did You Do The Appraisal?
I certify that all information listed above to be true and that I know of no other defects other than those described above. I also certify that the described condition will not change between now and sale or trade-in day. If any changes occur to the above, I will notify Stormins and I agree to alter the price of the unit/chassis to reflect the discrepancies or return the unit to its apprasal condition.
Do You Agree To The Above Statements?
I (Type Your Full Name) Agree