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Contact Information
State Issued:
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Alabama
Alaska
Arizona
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Colorado
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District of Columbia
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Zip:
Vehicle Information
Year:
Make:
Model
Doors
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2 Door
4 Door
Hatchback
Trim Level (if known)
Interior Color
Exterior Color
Cylinders
Liters
Mileage:
Vehicle Identification No.:
Transmission
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Automatic
Manual
Lien Holder
Estimated Payoff
Vehicle Options
AM/FM Radio
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Yes
No
Cassette
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Yes
No
CD
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Yes
No
CD Changer
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No
In Dash
External
Power Windows
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Yes
No
Power Locks
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Yes
No
A/C
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Yes
No
Rear A/C
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Yes
No
ABS
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Yes
No
Cruise Control
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Yes
No
Tilt Control
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Yes
No
Roof Rack
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Yes
No
Sunroof
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No
Sliding
Pop-up
Alloy Wheels
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Yes
No
Drive Train
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4WD
AWD
FWD
RWD
Tow Package
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Yes
No
Dual Air Bags
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Yes
No
Side Air Bags
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Yes
No
Power Seat(s)
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No
Driver
Pass
Both
Leather Seating
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Yes
No
Overall Vehicle Condition
Rate the condition of the following: 1 being Poor, 10 being Excellent.
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1
2
3
4
5
6
7
8
9
10
Tires (50% tread wear - replacement)
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1
2
3
4
5
6
7
8
9
10
Upholstery (Tears, burns, stains)
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1
2
3
4
5
6
7
8
9
10
Glass (Fractures, spiders, chips)
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1
2
3
4
5
6
7
8
9
10
Clutch (Clutch slipping)
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1
2
3
4
5
6
7
8
9
10
n/a
Brakes (Squeaky, noisy)
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1
2
3
4
5
6
7
8
9
10
Collision History
Has your vehicle ever been involved in a collision?
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yes
no
If yes, was a Body Shop estimate of repairs written?
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n/a
yes
no
choose one:
n/a
yes
no
choose one:
n/a
yes
no
Exterior Condition
choose one:
yes
no
choose one:
yes
no
choose one:
yes
no
choose one:
yes
no
Interior Condition
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yes
no
choose one:
yes
no
choose one:
yes
no
Mechanical Condition
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yes
no
choose one:
yes
no
choose one:
n/a
yes
no
choose one:
yes
no
choose one:
yes
no
Questionnaire
Has the vehicle ever been a taxi, rental car, or police car?
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yes
no
Has the vehicle ever been in water deeper than the midpoint of the tires?
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yes
no
Has the vehicle ever been declared a "Flood" vehicle?
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yes
no
Is the vehicle's frame in need of repair?
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yes
no
Has your vehicle's frame ever been repaired?
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yes
no
Has the vehicle ever had a salvage title?
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yes
no
Is this a "lemon law buyback" vehicle
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Yes
NO
choose one:
yes
no
Is the vehicle air bag in working order?
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yes
no
Has the vehicle air bag ever been deployed?
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yes
no
Do you have any of the service records for this vehicle?
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yes
no
Do you have records for any oil change within the last 5000 miles?
choose one:
yes
no
Is the catalytic converter attached and working properly?
choose one:
yes
no
Are the inspection stickers current?
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yes
no
Has the spare tire ever been used?
choose one:
yes
no
Do any of the tires need to be replaced?
choose one:
yes
no
Is the pollution control equipment attached and working properly?
choose one:
yes
no
Is there anything else we should know about this vehicle?
Napleton Autowerks Loves Park Audi Honda Jaguar Mercedes-Benz Dealership serves Chicagoland and the Rockford, IL, Freeport, Loves Park, Machesney Park, Rockton, Roscoe, Belvidere, Winnebago, Cherry Valley, Lena, Rochelle, Dekalb, Dixon and Beloit, WI communities. Come view our extensive inventory of new Audi, Honda, Jaguar and Mercedes Benz cars, trucks, van and SUV's. Use the Napleton Autowerks Loves Park website to build, configure and price your new Audi, Honda, Jaguar or Mercedes Benz, view our new cars, trucks and SUV's, view our used inventory of Honda, Jaguar, Audi, Mercedes Benz, Lexus, Kia, Jeep, Toyota and Mazda cars, trucks and SUV's for sale, order Audi, Honda, Jaguar or Mercedes Benz parts and accessories, apply for a car loan, financing and schedule service or maintenance on your Audi, Honda, Jaguar or Mercedes Benz.