Wyoming Valley Audi
126 Narrows Road, Route 11
Larksville
,
PA
18651
Sales
:
(877) 272-8614
Service
:
(570)288-7411
Parts
:
(888) 487-6675
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Contact Information
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First Name:
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Last Name:
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Phone:
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Work Phone:
Email:
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Zip Code
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Preferred Contact:
Anytime
Morning
Mid-day
Afternoon
Evening
Comments:
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Vehicle Information
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Year:
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Make:
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Model:
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Vin:
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Mileage:
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Engine:
Ext. Color:
Transmission:
Automatic
Manual
Doors:
2
3
4
5
Drivetrain:
2WD
4WD
AWD
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Options
Options
Air Conditioning
Power Windows
Power Locks
Power Seats
Leather Interior
Options
Cruise Control
Navigation System
Sunroof
DVD Player
Alloy Wheels
Options
Satellite Radio
CD Player / Changer
AM/FM Stereo
Cassette
Spoiler
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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
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Title History
Are there any lienholders and where are they located?
Who holds this title?
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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
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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?
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