Name:

Truck Year:

Truck Make:

Truck Model:

Serial #:

Odometer:

Engine Make:

Engine HP:

Engine Type (Gas or Diesel):
Choose Engine TypeGasDiesel

Transmission Make:

Transmission Speeds:

Transmission Type:
Choose TransmissionAutomaticManual

Vehicle Weight Rating:

Vehicle Color:

Gross Vehicle Weight:

Rear Ratio:

Brakes Front:
Choose Front Brake Condition25%50%75%New 

Brakes Rear:
Choose Rear Brake Condition25%50%75%New 

Steer Tires:
Choose Steer Tires Condition25%50%75%New 

Rear Tires:
Choose Rear Tires Condition25%50%75%New 

Axle Weight Front:

Axle Weight Rear:

Pusher Axle Weight: 

Does Vehicle Have A/C?

 

Does Vehicle Have Engine Brake?

 

Does Vehicle Have A Double Frame?

 

Axle Configuration:
Choose Axle ConfigurationSingleTandemTri-AxleQuad-AxleOther 

Does Vehicle Have Steerable Axles?

 
Suspension Type:
Choose Suspension TypeAir RideSpring 

Dump Body Condition:
Choose Dump Body ConditionGoodFairPoor 

Dump Body Floor Condition:
Choose Dump Body Floor ConditionGoodFairPoor 

Dump Body Make:

Dump Body Size: 

Dump Body Material:
Choose Dump Body MaterialSteelAluminum 

Is Body Heated:

 

Electric Tarp:

 

Vehicle Retail Price:

Vehicle Wholesale Price:

List Additional Equipment:

Has Vehicle Been Reconditioned?

 

If Yes, Please Explain What Has Been Done:

By signing, I certify the above information is a true and accurate representation of the above-named equipment.