Customer Vehicle Trade-in Form
Full Name
*
First Name
Last Name
E-mail
*
example@example.com
Cell Phone
*
Format: (000) 000-0000.
TRADE-IN VEHICLE INFO
Trade-In
*
Year
Make
Model
V.I.N
*
Vehicle Identification Number
Exact Mileage
*
BANK INFORMATION
Lien Holder
*
Exact Monthly Payment
*
Exact Payoff
*
If it is a LEASE - Call BANK for 10 DAY PAYOFF
Additional comments
Signature
Print Form
Submit
As a valued customer, we want to ensure your private information is kept private and only shared with those companies who are authorized either by yourself or as allowed or required by law. This document explains our privacy policy, gives you reasons why we ask for the type of information we do, and if we do reserve a right to share information with non-affiliated third parties, lets you "opt-out" of our reservation to do so. Please take a moment to read this entire policy. Collection of Information: The purchase of a motor vehicle requires considerable accumulation of nonpublic personal information. For example, if we sell or lease you a vehicle - extending you credit at your request - we will receive information from you in order to determine your creditworthiness. We may also obtain information from a credit-reporting agency. We may also obtain information from third parties such as employers, references and insurance companies. Some of the information we obtain from you may be required by provincial or federal agencies, such as the Ministry of Transportation or Revenue Canada. This information may be required even if you were to pay cash for your vehicle.
Form Submitted On
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Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Should be Empty: