evaluatecars.com

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 fields marked with (*) are required fields. * First and Last Name:  * required * Address:  * required * City:  * required * State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington West Virginia Wisconsin Wyoming * ZIP  * required * Phone:  * required   Cell Phone:   Email Address:   Fax Number:   VEHICLE INFORMATION * Vehicle Make:  * required * Model & Trim Level: Exterior Color:  * required * Year:  * required   VIN No.   ACCIDENT INFO * Date of Loss:  * required   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? Did any airbags deploy in this accident? Yes No 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? Internet Search Yellow Pages Radio Referred by a friend or business Other   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.   8. Final estimate from body shop 9.  Copy of warranty from body shop covering repairs   Thank you! We look forward to meeting with you !	* * * Feel free to email or call us if you have any questions about this form. (602) 943-7771 FAST! RELIABLE! PROFESSIONAL! COURTEOUS!
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