Vehicle Intake Form

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Vehicle Intake Form

This form is intended to be used to collect information from customers about their vehicles. Please note: We can only buy vehicles with titles and a general location in the form of a street address is required. YOU DO NOT NEED TO SIGN IN UNLESS YOU PLAN ON LISTING MULTIPLE VEHICLE, OTHERWISE SKIP THE SIGN IN STEP.

Owner Name *

Owner Phone Number *

Vehicle Location *

EX: 5439 Lewis Ave, Toledo, OH-- Make sure you provide an accurate location. If vehicle is not at an address enter the nearest intersection (EX: Lewis & Laskey, Toledo, OH)

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