Gateway Subaru Offsite Appraisal Form

Offsite Appraisal Form
Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Please provide the following information about your vehicle
Are you the original owner?

YesNo
Has the vehicle had any accidents or issues that may appear on a vehicle history report (Carfax, Autocheck, etc.)?

YesNoNot Sure
Has an insurance company paid for any repairs on your vehicle?

YesNo
Does your vehicle have any noticeable odors (maybe from smoking, pets or mold)?

YesNo
Do you have complete maintenance records?

YesNo
Do you have 2 or more keys or keyless remotes?

YesNo
Vin Number:
Vehicle:
Miles:
Do any of these warning lights stay on? (Click all that apply)

ABSAirbagsCheck EngineService EngineLow CoolantMaintenanceOil Pressure
Do you have mechanical issues with any of these? (Click all that apply)

EngineTransmissionSteeringExhaustSuspensionHeating/Air ConditioningBattery/ElectricalStereoOdometerSunroof/MoonroofAirbagsFrame/Structural
You know your car best, please tell us where it has signs of wear and damage

(Click all that apply)
Driver's Side Wear or Damage (Dings, Dents, Scratches, Paint Chips, Prior Body Work, Replaced Parts):

FenderFront DoorRear DoorQuarter PanelRocker PanelMolding/Trim
Rear Wear or Damage (Dings, Dents, Scratches, Paint Chips, Prior Body Work, Replaced Parts):

RoofTrunkRear BumperMolding/Trim
Passenger Side Wear or Damage (Dings, Dents, Scratches, Paint Chips, Prior Body Work, Replaced Parts):

Quarter PanelRear DoorFront DoorFenderRocker PanelMolding/Trim
Front Wear or Damage (Dings, Dents, Scratches, Paint Chips, Prior Body Work, Replaced Parts):

HoodGrilleFront BumperMolding/Trim
Windshield & Glass (Chips, Cracks, Replaced Items):

HeadlightsDriver Side MirrorPassenger Side MirrorWindshieldDriver Side WindowsPassenger Side WindowsRear WindowTaillights
Wheels & Brakes: I need to replace, repair or service…

Tires & RimsBrakes
Interior Wear or Damage (Stains, Rips, Tears, Burns, Missing Parts)

DashboardDriver SeatPassenger SeatRear SeatCarpetHeadlinerMolding / Trim
Should be Empty:

Offsite Appraisal Form

Please provide the following information about your vehicle

You know your car best, please tell us where it has signs of wear and damage