Trade In Appraisal Form

Customer Name*

VIN*

Vehicle Year*

Make

Model

Trim*

Exact Miles*

Exterior Color*

Interior Color*

Vehicle Condition*

Very GoodGoodAverageRough

Tire Condition*

GoodMediumFair

Are there any cracks or pits in the windshield, rear window, or side windows?*

YesNo

Any accidents or damage?*

YesNo

If "Yes" please provide a brief description of the damage.

Is the vehicle owned outright, leased, or financed?*

OwnedLeasedFinanced

If leased or financed, who is the associated bank or financial institution?

Number of Keys*

1 Key Fob2 Key Fobs

Do you have the books / operator's manual?*

YesNo

Has the car been smoked in?*

YesNo

All appraisal valuations presented via Email, Text, or Phone call will expire on the 7th day after receiving a signed appraisal request.

The offer you will receive from CarBlip is contingent on your providing accurate information. CarBlip will conduct a verification of your vehicle and evaluate other vehicle use and history information prior to finalizing the offer. Any differences between the information you provide about your vehicle and the vehicle's actual condition, use, and history may impact the offer you will receive from CarBlip

Signature*

Date*

Date

Pictures

Please provide clear pictures of the following: front, driver's side, passenger's side, rear, and odometer reading. If there is any damage, please include close-up pictures of all damage.

Trade-In Vehicle Appraisal Form