Name: _____________________________________________		Email: ________________
Address:____________________________________________
City: _______________________	State: _________________	Zip: _____________________
Area Code: ______________	Phone: ________________	Fax: ___________________

Vehicle Information

License: ______	Vehicle ID: _____________________________________
Year: _____	Make: ______	Model: ______
Engine: _______	Transmission: _______	Length of ownership: ______
Odometer: ________	Actual Mileage: ________	Purpose of appraisal: ______
Insurance Co: ___________________________________
Factory Options: ____________________________________________ _________________________________________________________
Modifications: ______________________________________________ _________________________________________________________

Condition Report

Body: _________________	Glass: _________________	Drive train: ____________
Paint: __________________	Interior: ________________	Wheels & Tires: ________
Chrome: ________________	Engine: ________________

Attach additional vehicle information if necessary.

Describe known problems: _____________________________________________
____________________________________________________________________

Do you have an opinion of the value? $___________ How much invested? $___________

Signature ____________________________________________

Using the the following descriptions rate the vehicles overall grade: _______________

1. Excellent: Perfect professional restoration or brand new. A 95+ point show winner that is not driven.
2. Fine: Superior restoration and/or extremely well maintained original.
3. Very Good: Completely operational original (some wear) or deteriorated or amateur restoration or a partially restored car with all necessary parts.
4. Good: Drivable and mostly usable as is. In need of restoration (considerable wear).
5. Restorable: May not be running, mostly complete.
6. Parts Car: Beyond restoration, above scrap.