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Trade-in Evaluator Header

**Please Note This form requires a valid email address!!**  - * Required Field -

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 First Name:*

Year: *

 Last Name:*

Make/Model:*

 Phone:*

VIN #:

 E-Mail:*Manufacturer:
 Address:*Type of RV:
 City:*Exterior:

 State:*

Description and Floor plan Style:

 Zip Code:*
 Alt. Phone:
 Fax:Size:
Number of Slide-Outs:

 Check All That Apply:

List additional options not listed below:

List any options not working:

None
Super slide
Single slide
Bedroom slide
Additional slide

 

 Check All Options On Your RV:

DVD
Stereo w/CD
Spare Tire
Electric Front Jack or Legs
Stabilizer Jacks
Awning
A/C 
Refrigerator
Microwave
Roof Rack
Roof Ladder
Slides Awnings
Window Awnings
Generator
Water Heater
Washer/Dryer
TV
TV Antenna

 What is the current condition of your RV? Details that apply relating to the condition.

 Modifications:
Damage:
 
 Soft Spots in Floor:
Roof Leaks:
 Exterior Damage:
Flood Damage or have any pipes burst: 
 
 Roof vents:
Fender skirts damage:
 
 Hail Damage:
Has the unit ever beensmoked in?
 
 Titled in what State:
Has this RV ever been in an Accident?
 

 Please indicate name of bank & payoff amount of yourRV.

$

 Please indicate payoff bank Account #:

 Please indicate the RV your interested in buying.*

 
 Rate your RV on a scale of 1-10 (1 being the lowest)*

 By checking this button, you are certifying that everything is in working condition except  for what has been identified in the above form:Check Here
 Wholesale value     $

 Evaluator

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Customer Signature
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