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DBA: Auto Valuation Authority

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Appraisals Performed For --

Diminished Value & Total Loss | Pre-purchase Inspection
Stated & Agreed Value for Insurance | Bankruptcy | Non-profit Donations
Marriage and Business Dissolutions | Estates | Insurance Value Verification
Asset Valuation for Buy/Sells | Disagreement Resolution
INFORMATIONAL QUESTIONNAIRE: Please complete the form below so that we can immediately begin to process your evaluation. The more information you can provide, the better we can serve you. Thank you :)
The field marked with (*) are required fields.
* First and Last Name:
* Address:
* City:
* State
* ZIP
* Phone:
Cell Phone:
Email Address:
Fax Number:
VEHICLE INFORMATION
* Vehicle Make:
* Model & Trim Level:
* Year:
VIN No.
ACCIDENT INFO
* Date of Loss:
Mileage on Date of Loss:
Did you buy this vehicle new? Yes
No
Was the accident your fault? Yes
No
Amount of Damage $$:
Was frame or unibody damaged? Yes
No
Was your vehicle ever involved in a previous accident? Yes
No
If vehicle was totaled and is being stored in a storage facility, please answer the next three questions:
Name & Address of Storage Facility :
Storage Facility Phone #:
Storage Lot # :
INSURANCE & ATTORNEY INFORMATION
Insurance Company of At Fault Party:
Your Insurance Co:
If you are working with an attorney on this accident, please enter your Attorney's Name, Phone Number, and email address:
HOW DID YOU HEAR ABOUT US?
If you heard about us through a friend or business associate, please enter their Name and Phone Number:
COMMENTS:
Please enter your comments in the box to the right.
PLEASE READ THE FOLLOWING IMPORTANT INFORMATION!
Please call us at 602.943.7771 to arrange an appointment for the inspection of your vehicle. The following information will be needed by the time of the inspection:
1. Description of vehicle and accessories
2. Dealership purchase order or contract if available.
3. Copy of Title or Title & Registration application.
4. Copy of police report if vehicle was involved in an accident.
5. Pictures of vehicle before accident, if available.
6. List of 2 or 3 people we can interview who knew the vehicle prior to the accident.
7. Factory window sticker.
Thank you! We look forward to meeting with you !
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