Auction Vehicle Request Form
Please complete this form with your vehicle preferences, budget, timing, and agreement details.
Applicant Information
First Name
*
Last Name
*
Date of Birth
*
-
Month
-
Day
Year
Date
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Current Address
*
City
*
State
*
ZIP Code
*
Vehicle Preferences
What type of vehicle are you looking for?
*
Sedan
SUV
Truck
Coupe
Convertible
Hatchback
Wagon
Van
Pickup
Preferred Make
Preferred Model
Preferred Year Range
Preferred Exterior Color
Maximum Mileage Preferred
Fuel Type
Gasoline
Diesel
Hybrid
Electric
No Preference
Transmission Preference
Automatic
Manual
No Preference
Do you require a clean title?
*
Yes
No
Open to Rebuilt Title
Are you willing to consider alternative makes or models?
Yes
No
Required Features
Leather Seats
Sunroof
Navigation
Backup Camera
Heated Seats
Bluetooth
Apple CarPlay
Android Auto
Remote Start
Blind Spot Monitoring
Alloy Wheels
Third Row Seating
Tow Package
Budget and Purchase Readiness
What is your maximum vehicle budget?
*
Does this budget include taxes, transportation, auction fees, and repairs?
*
Yes
No
How do you plan to purchase the vehicle?
*
Cash
Financing
Credit Union
Unsure
Are you pre-approved for financing?
Yes
No
Are you prepared to submit a deposit if a vehicle matching your criteria is located?
*
Yes
No
What condition are you willing to accept?
*
Excellent
Good
Fair
Minor Cosmetic Damage
Minor Mechanical Repairs Needed
What repairs are you NOT willing to accept?
Are you willing to purchase a vehicle that may require minor repairs after auction?
*
Yes
No
When are you looking to purchase?
*
Immediately
Within 30 Days
Within 60 Days
Within 90 Days
Just Exploring Options
How quickly can you make a purchasing decision once a vehicle is located?
*
Same Day
Within 24 Hours
Within 48 Hours
Within One Week
Agreement and Signature
Do you understand and agree to the above?
*
Yes
No
Is there anything else we should know about your vehicle request?
Client Signature
*
Date
*
-
Month
-
Day
Year
Date
Submit
Submit
Should be Empty: