HCI Wheeled Product Repo Report
Date
*
-
Month
-
Day
Year
Date
Dealer Name
*
Dealer Location
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Dealer Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Dealer Email
example@example.com
Asset Type
*
Camper
Trailer
Lawnmower
Golf Cart
Tractor
Previous Customer Name
*
VIN or Serial #
*
FOR TRAILERS: The VIN tag is located on the driver's side frame rail near the landing leg. FOR CAMPERS: The VIN is typically stamped on a tag mounted on the a-frame of a Travel Trailer or on the pin box of a Fifth Wheel. FOR LAWNMOWERS: The serial number can be found on the rating plate. FOR GOLF CARTS: The serial number can be found on the rear bumper on the frame.
Upload Photo of VIN or Serial #
*
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Model
*
License Plate # (if applicable)
List of Primary Damage to Asset
*
Tire Condition
*
Poor
Fair
Good
Great
Drivability Rating
*
Engine does not start
Engine starts
Keys in Hand (if applicable)
*
Yes
No
Missing Parts
*
Yes
No
If YES, what parts are missing?
Odometer Reading or Number of Hours
*
Suggested Retail Price
*
Repo is classified as:
*
Managed Inventory
Buy Back
Upload Photos of Asset Showing All Sides of Asset (outside, all interior, any proof of damage, odometer/hours, condition of tires, etc.)
*
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Upload Pick Up Request Form
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Additional Comments
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Should be Empty: