Individual Vehicle Form

CAR Buy My Car
Do you have the title?*
Vehicle Year*

Enter 17 Digit VIN*

Production Date Year (Inside Driver's Door)
Month

Mileage (Actual or Oil Change Sticker)*

Body Style*

Make*

Model*

Primary Color*

Secondary Color

Tag Number*

Tag State*

Take a Photo of the vehicle title (to use photos already on the phone, tap "cancel" when the phone asks to access camera, then "Use Photo" and select pictures on the phone)*

Take a Photo of Rear of Vehicle*

Take a Photo of Front of Vehicle*

Take a Photo of Right Side of Vehicle*

Take a Photo of Left Side of Vehicle*

Street Address of Vehicle Pickup Location*

Describe What is Wrong With the Vehicle *

Person/Entity Authorizing the Sell of the Vehicle*

Telephone Number of person Selling Vehicle*
Email Address*
example@example.com

If you have questions call:
Geolocation*

Title Is Necessary

Unfortunately, Counselman Automotive Recycling does not currently buy cars that do not come with a title. Thanks for your time!

Should be Empty: