Austin Hinds Motors - Trade In

Truck Tradein Information Form

Owner Information
First Name	Last Name	Company Name

Street Address			Suite / Apt #

City		State	Zip Code

Primary Phone	Alternate Phone	Fax	Email Address

General Truck / Chassis Information

Condition

Truck Type

Specify Other

Rollback

Wrecker

Truck Make

Chassis VIN

Year

Odometer

Salvage Title?

Glider Kit?

Specify Chassis

Yes

No

Yes

No

Chassis Model

Chassis Color

Capacity

Cab to Axle

Detailed Truck / Body Information

Body Mfg.

Body Year

Body Model

Body Serial #

Body Type

Body Config.

Boom Config

Sleeper?

Yes

No

Sleeper Size

Wheelbase

CA or CB

Jake Brake?

Yes

No

Horsepower

Engine Make

GVWR

Fuel Type

Gas

Dsl

Engine Condition

Engine Serial #

Transmission

Turbo?

Yes

No

Rear Axle Ratio

Trans. Speeds

Trans. Condition

Engine Rebuilt?

Yes

No

Clutch Condition

Tilt / Tel Wheel

Cruise Control

4 Wheel Drive

Yes

No

Bed / Cab / Frame / Subframe Information
Cab Type	Seat Type	Seat Condition	Multimedia

Frame	Frame Condition	Bumper Cond	Suspension

Pwr Steering Cond.	AC Cond.	Windshield Cond.	Axle Config

Body Condition	Paint Condition	Slider Pads	Brake Type

Brake Condition	Fuel Tanks	# Fuel Tanks	Fuel Tank Size

Bed Condition	Body Type	Subframe Cond.	Chassis Rust

Bed Length	Body Width

Underlift / Winch / Tire Information
Underlift		Underlift Reach	Underlift Capacity

Underlift Stages	Wheelift Cond.	Controls	Control Condition

# of Winches	Winch Type	Cable Size	Cable Condition

Cable Length	Winch Capacity	Winch Condition	Drag Winch

Tire Condition	Tire Tread Depth	Tag Axle Rims	Pusher Axle Rims

Rear Axle Rims	Front Axle Tires	Pusher Axle Tires	Tag Axle Tires

Accessory / Financial Information
	Heavy Duty Tow Bar		Med. Duty Tow Bar		Car Tow Sling
	Tow Dollys		Self Loading Dollys		Dolly Bunks
	Led Lights		Strobe Light Bar		Tow Lights
	Wireless Remote		Cable Remote		In Cab Controls
	Jump Start Kit		Air Free Spool		Air Cable Tensioner
	Spring Tensioner		Recovery Chains		Safety Chains
	5/8 Hookup Chains		Tow Light Bar		Winch Lights
	Upper HU Lights		Lower HU Lights		Wireless Tow Lights
	Corner Strobes		Pintle Hook Attach.		Air Shift PTO
	Electric Shift PTO		Hot Shift PTO		Bus Wheel Lift

Truck Payoff		Original Cost		Your Perceived Value

Comments, Questions, Details About Your Truck and Other Communications
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Austin Hinds Motors, P.O. Box 430, Arab, AL 35016	Phone: 256-586-8161
Email: hindsmotors@otelco.net	Fax: 256-586-2120

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