Part Exchange - Vehicle details

Full Name:  
Email Address:  
Contact Number:   Daytime  Evening
Registered Keepers Address:    
House Name / Number:  
Specification / Optional Extras:  
Date First Registered:  
Mileage:   Miles   KM
Origin:   UK Car  Import  
Body Colour(s):      Trim Colour(s):
Number of Doors:   Two  Three  Five
Engine Size:  
MOT:   Available, expires: or Not Available
TAX:   Available, expires: or None available
VIN Number:  
Service History:   1) When: Mileage: Service garage:  
2) When: Mileage: Service garage:
3) When: Mileage: Service garage:
4) When: Mileage: Service garage:
5) When: Mileage: Service garage:
Please provide details of:  Bodywork - Dents, Scuffs, Scratches, Interior - Smoker, pets, rips, marks etc.
Tyres - Depth of Tread in mm on each wheel
Declaration:   This car is accident Free - not a Category C or D vehicle: (Yes)
    There is no outstanding Finance on this vehicle:   
    (No - please state the settlement figure here: )  
Anticipated Value:  
Please provide an honest appraisal of its condition, including wheels, tyres, dents, scuffs, scratches, etc.

Your information will not be passed to anyone outside of Mrs Mini.