"Used Vehicle Condition Report Template - Saxon Fleet Services"

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SAXON
USED VEHICLE CONDITION REPORT
FLEET SERVICES
7571 9th St. N. • Oakdale, MN 55128 • Office (651) 222-7321 • Fax (651) 222-1998
Company/ Name: ___________________________________
Attention: ______________________________
INCLUDE A COPY OF YOUR TITLE OR REGISTRATION WHEN SUBMITTING THIS FORM
Year
Make
Model
Trim
Body
Serial Number (VIN)
License Plate
Exterior Color
Interior
Engine
Transmission
( ) Cloth ( ) Leather ( ) Vinyl
( ) 8cyl ( ) 6cyl ( ) 4 cyl
( ) Automatic ( ) Manual
( ) Diesel
Air Conditioner
Radio
Equipment
( ) Yes ( ) No
( ) AM/FM ( ) CD
( ) P. Windows ( ) Tow Package ( ) Sunroof
( ) Dual Zone Climate
( ) Bluetooth ( ) Navigation
( ) Cruise ( ) P. Locks ( ) P. Seat ( ) Tilt
Estimate the number of miles this vehicle will be driven
Present Mileage ______________________________
in the next 30 Days ______________
How many miles do you drive it in a month?
( ) Actual ( ) Over 100,000 ( ) Unknown
BODY CONDITION > Describe Dents, Creases, Rust, Condition of Paint
Front/Hood ___________________________________________________________________________________
Left Side _____________________________________________________________________________________
Rear ________________________________________________________________________________________
Right Side ___________________________________________________________________________________
Roof ________________________________________________________________________________________
Bumpers/Wheel Covers _________________________________________________________________________
Mldgs/Grill/Tailgate ____________________________________________________________________________
WINDSHIELD ( ) OK ( ) Cracked ( ) Chipped ( ) Scratched – Where? _________________________________
Other Glass ___________________________________________________________________________________
TIRES (Good, Fair, Poor) L. Frt. ______ R. Frt. ______ L. Rear ______ R. Rear ______ Spare ______
INTERIOR CONDITION ( Worn, Torn, Stained, Soiled, Burn Holes)
Front Seat ___________________________________ Rear Seat _______________________________________
Headliner ___________________________________ Carpets _________________________________________
Trunk/Cargo Area ____________________________ Other __________________________________________
MECHANICAL CONDITION
Engine _____________________________________ Transmission ____________________________________
Drivetrain __________________________________
Brakes _________________________________________
Front End __________________________________
Exhaust System __________________________________
Air Conditioner _____________________________
Other __________________________________________
ANY MISREPRESENTATION OF THE ACTUAL VEHICLE CONDITION ON THIS FORM VOIDS THE
APPRAISED TRADE VALUE OFFERED BY SAXON FLEET SERVICES. IN THE EVENT OF A CHANGE IN
CONDITION, THE OWNER AGREES TO IMMEDIATELY NOTIFY SAXON FLEET SERVICES FOR RE-
EVALUATION. CUSTOMER SHALL INDEMNIFY SAXON FLEET SERVICES FOR ANY
MISREPRESENTATION OF THE ACTUAL VEHICLE CONDITION.
Authorized Signature
Title
Print Name
Date
SAXON
USED VEHICLE CONDITION REPORT
FLEET SERVICES
7571 9th St. N. • Oakdale, MN 55128 • Office (651) 222-7321 • Fax (651) 222-1998
Company/ Name: ___________________________________
Attention: ______________________________
INCLUDE A COPY OF YOUR TITLE OR REGISTRATION WHEN SUBMITTING THIS FORM
Year
Make
Model
Trim
Body
Serial Number (VIN)
License Plate
Exterior Color
Interior
Engine
Transmission
( ) Cloth ( ) Leather ( ) Vinyl
( ) 8cyl ( ) 6cyl ( ) 4 cyl
( ) Automatic ( ) Manual
( ) Diesel
Air Conditioner
Radio
Equipment
( ) Yes ( ) No
( ) AM/FM ( ) CD
( ) P. Windows ( ) Tow Package ( ) Sunroof
( ) Dual Zone Climate
( ) Bluetooth ( ) Navigation
( ) Cruise ( ) P. Locks ( ) P. Seat ( ) Tilt
Estimate the number of miles this vehicle will be driven
Present Mileage ______________________________
in the next 30 Days ______________
How many miles do you drive it in a month?
( ) Actual ( ) Over 100,000 ( ) Unknown
BODY CONDITION > Describe Dents, Creases, Rust, Condition of Paint
Front/Hood ___________________________________________________________________________________
Left Side _____________________________________________________________________________________
Rear ________________________________________________________________________________________
Right Side ___________________________________________________________________________________
Roof ________________________________________________________________________________________
Bumpers/Wheel Covers _________________________________________________________________________
Mldgs/Grill/Tailgate ____________________________________________________________________________
WINDSHIELD ( ) OK ( ) Cracked ( ) Chipped ( ) Scratched – Where? _________________________________
Other Glass ___________________________________________________________________________________
TIRES (Good, Fair, Poor) L. Frt. ______ R. Frt. ______ L. Rear ______ R. Rear ______ Spare ______
INTERIOR CONDITION ( Worn, Torn, Stained, Soiled, Burn Holes)
Front Seat ___________________________________ Rear Seat _______________________________________
Headliner ___________________________________ Carpets _________________________________________
Trunk/Cargo Area ____________________________ Other __________________________________________
MECHANICAL CONDITION
Engine _____________________________________ Transmission ____________________________________
Drivetrain __________________________________
Brakes _________________________________________
Front End __________________________________
Exhaust System __________________________________
Air Conditioner _____________________________
Other __________________________________________
ANY MISREPRESENTATION OF THE ACTUAL VEHICLE CONDITION ON THIS FORM VOIDS THE
APPRAISED TRADE VALUE OFFERED BY SAXON FLEET SERVICES. IN THE EVENT OF A CHANGE IN
CONDITION, THE OWNER AGREES TO IMMEDIATELY NOTIFY SAXON FLEET SERVICES FOR RE-
EVALUATION. CUSTOMER SHALL INDEMNIFY SAXON FLEET SERVICES FOR ANY
MISREPRESENTATION OF THE ACTUAL VEHICLE CONDITION.
Authorized Signature
Title
Print Name
Date