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5 Corners Dodge Chrysler Jeep Ram
1292 Washington Avenue
Cedarburg,
WI
53012
Sales:
(888) 540-3762
Service:
(877) 588-7692
Parts:
(888) 567-3590
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Trade-In Appraisal
Submit this trade-in form and we will get back to you promptly with an appraised value.
* indicates required fields.
Contact Information
First Name
Work Phone
Email
Zip Code
Comments
Last Name
Home Phone
Preferred Contact
Anytime
Morning
Mid-day
Afternoon
Evening
Options
Air Conditioning
Power Windows
Power Locks
Power Seats
Cruise Control
Navigation System
Sunroof
DVD Player
Satellite Radio
CD Player / Changer
AM/FM Stereo
Cassette
Leather Interior
Alloy Wheels
Spoiler
Vehicle Information
Year
Model
VIN
Engine
Transmission
Automatic
Manual
Make
Ext. Color
Mileage
Doors
2
3
4
5
Drivetrain
2WD
4WD
AWD
Vehicle Rating
Body (dents, dings, rust, rot, damage)
10 - best
9
8
7
6
5
4
3
2
1 - worst
Engine (running condition, burns oil, knocking)
10 - best
9
8
7
6
5
4
3
2
1 - worst
Glass (chips, scratches, cracks, pitted)
10 - best
9
8
7
6
5
4
3
2
1 - worst
Exhaust (rusted, leaking, noisy)
10 - best
9
8
7
6
5
4
3
2
1 - worst
Tires (tread wear, mismatched)
10 - best
9
8
7
6
5
4
3
2
1 - worst
Transmission / Clutch (slipping, hard shift, grinds)
10 - best
9
8
7
6
5
4
3
2
1 - worst
Interior (rips, tears, burns, faded/worn, stains)
10 - best
9
8
7
6
5
4
3
2
1 - worst
Vehicle History
Was it ever a lease or rental return?
Yes
No
Is the odometer operational and accurate?
Yes
No
Detailed service records available?
Yes
No
Title History
Are there any lienholders and where are they located?
Who holds this title?
Vehicle Assessment
Do all options and accessories work correctly?
Has the vehicle ever been in any accidents? Cost of repairs?
Has the vehicle ever had paint work performed?
Did you buy the vehicle new?
Is there existing damage on the vehicle? Where?
Is the title designated "Salvage"or "Reconstructed"? Any other?
Submit
