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Bob Thibodeau Ford
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Blue Oval Certified		 Used Vehicles

Use the form below to receive an estimate for your trade-in vehicle.

ONLINE APPRAISAL FORM - CONTACT INFO
My Name:
Contact Via:
At:
VEHICLE DESCRIPTION
Vehicle Year:
Make:
Model:
Color:
VIN # (17 digits):
Mileage:
Engine Cylinder
Size (4, 6, 8, Diesel):
Transmission
(Auto, 5-speed, 4-speed):
VEHICLE OPTIONS
A/C:
Yes No 		Cruise:
Yes No
Power Steering:
Yes No 		Power Brakes:
Yes No
Power Windows:
Yes No 		Power Locks:
Yes No
Power Seats:
Yes No 		AM/FM Stereo:
Yes No
Cassette:
Yes No 		CD:
Yes No
Electric Defroster:
Yes No 		Tilt Wheel:
Yes No
Sun Roof:
Yes No 		 
ADDITIONAL VEHICLE DETAILS
Mileage tires were last replaced?:
The vehicle was purchased (New, Used, Other):
Customer has the Title?:
Yes No
Is Title in same name as above?:
Yes No
THE CUSTOMER STATES THE FOLLOWING STATEMENTS TO BE CORRECT:
Was the engine emissions tampered with or removed?:
Yes No
Was the catalytic converter tampered with?:
Yes No
Was the odometer ever tampered with?:
Yes No
Is the odometer working?:
Yes No
Were the seat belts tampered with?:
Yes No
Is the transmission in working order?:
Yes No
Is there any current body damage?:
Yes No
If Yes, where on the vehicle?:
Are there any other options on the vehicle you would like to mention?:

We will get back with you on your Online Appraisal amount. This appraisal may be subject to change upon the final physical inspection.

Thank you for your information!

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