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Vehicle Information * Year: * Make: * Model: Trim: Body Style: Select One Sedan Hatchback Wagon Mini Van Convertible SUV Pickup Extended Cab Crew Cab Passenger Van Cargo Van VIN: Odometer: Transmission: Select One Automatic Manual Exterior Color: Interior Color: Current Monthly: Payoff Balance: Estimated Value: Installed Options ABS Brakes Air Conditioning AM/FM Stereo Cassette Single CD Multi CD Integrated Cellular Navigation System Cruise Control 4 Wheel Drive Leather Power Locks Power Windows Power Seats Tilt Wheel Rear Air/Heat Air Bag Dual Air Bags Alloy Wheels Premium Wheels Wheel Covers Luggage Rack Sun Roof Moon Roof Anti-theft Video System DVD System Privacy Glass Bra Running Boards Third Seat Towing Package Bed Liner Short Bed Long Bed Sliding Rear Window Dual Rear Wheels Custom1 Custom2 Custom3 Custom4 Contact Information * First Name: * Last Name: * Email: Home Phone: Day Phone: Fax: Cell Phone: * Preferred Contact: Email Home phone Day phone Cell phone Fax * Address: * City: * State: Select One AK AL AR AS AZ CA CO CT DC DE FL FM GA GU HI IA ID IL IN KS KY LA MA ME MD MH MI MN MO MP MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VI VT WA WI WV WY * ZIP Code: Vehicle Condition Please rate the overall condition of your vehicle. "Excellent" indicates that your vehicle is in excellent mechanical condition, has glossy paint and a perfect interior. "Good" indicates that your vehicle is free of any major defects and has only minor visual blemishes. "Fair" indicates that the vehicle has some mechanical or cosmetic defects but is in safe running condition. "Poor" indicates that the vehicle has severe mechanical and/or cosmetic defects. Overall Condition: Excellent Good Fair Poor Exterior Condition Please rate the exterior condition of your vehicle. Body: Excellent Good Fair Poor Paint: Excellent Good Fair Poor Glass: Excellent Good Fair Poor Rust: Excellent Good Fair Poor Lights/Lenses: Excellent Good Fair Poor Comments: Interior Condition Please rate the interior condition of your vehicle. Carpet: Excellent Good Fair Poor Upholstery: Excellent Good Fair Poor Heating & A/C: Excellent Good Fair Poor Power Accessories/Instruments: Excellent Good Fair Poor Comments: Mechanical Condition Please rate the mechanical condition of your vehicle. Engine: Excellent Good Fair Poor Transmission: Excellent Good Fair Poor Suspension: Excellent Good Fair Poor Steering: Excellent Good Fair Poor Brakes: Excellent Good Fair Poor Tires: Excellent Good Fair Poor Comments: Additional Vehicle Information Title History: Select One Clean Branded Salvage etc. Emissions: Select One Current Failed/Gross Polluter Odometer Reading: Select One Accurate Reset/Rolled Over Registration: Select One Current Expired/Fees Due Service Maintenance: Select One On time and current Some done Not done Service Records: Select One All available Some available Not available Body Repair Done: Select One None Minimal Major Additional Information: Vehicle of Interest * Vehicle Type: New PreOwned Undecided Year: Select a Year Make: Select a Make Model: Select a Model * These fields are required Larry Puckett Chevrolet | Your Prattville and Montgomery, AL Chevrolet Dealer | Homepage

Larry Puckett Chevrolet
2101 Cobbs Ford Road,
Prattville, AL 36066
Sales: (334) 649-7408
Service:
Email: kirk.mims@larrypuckett.com

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