NMC Appraisal Request

Name*
Address*
Phone*
Email*
Vehicle VIN Number*
Year*
Make*
Model*
Body Style*
Number of Doors*
Interior Color & Material*
Interior Condition (explain)*
Exterior Color*
Paint Condition (explain)*
Engine Size*
Is Engine Original?*
Transmission*
Mileage*
Is Mileage Original?*
How long have you owned the vehicle?*
Running & Mechanical Condition (explain)*
Are all lights functional, both interior and exterior? (explain)*
Has vehicle been restored? When?*
If vehicle has been restored, what kind of restoration was performed and by whom was the work completed?*
Mileage Since Restoration*
Body Condition (rust, dents, dings, etc... Explain)*
Glass Condition (chips or cracks, etc.. Explain)*
Tire Condition and Age*
Does the vehicle have A/C and does it work?*
Heater - Does it work?*
Overall Condition of Vehicle (Rate #1 - #6 and then explain)*
Additional Information or Comments
Should be Empty: