Value Your Trade

At Galpin Ford, you can Value Your Trade towards a great selection of new Ford vehicles. We also have a large selection of pre-owned vehicles to choose from. Galpin Ford in North Hills is proud to be an automotive leader in the community. Galpin Ford serves the Los Angeles, Long Beach, Santa Clarita, and Burbank areas. Call us today at 1-800-256-7137 for a great deal on your next vehicle purchase.

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Contact Information

First Name: *

Last Name: *

Address: *

City: *

State Issued:

Zip:

(Area Code) Daytime Phone: *

EMail: *

Vehicle Information

Year:

Make:

Model

Doors

Trim Level (if known)

Interior Color

Exterior Color

Cylinders

Liters

Mileage:

Vehicle Identification No.:

Transmission

Lien Holder

Estimated Payoff

Vehicle Options

AM/FM Radio

Cassette

CD Changer

Power Windows

Power Locks

A/C

Rear A/C

ABS

Cruise Control

Tilt Control

Roof Rack

Sunroof

Alloy Wheels

Drive Train

Tow Package

Dual Air Bags

Side Air Bags

Power Seat(s)

Leather Seating

Overall Vehicle Condition

Rate the condition of the following: 1 being Poor, 10 being Excellent.

Metal/Paint (Scratches, dings, dents, rust, fading) *

Tires (50% tread wear - replacement)

Upholstery (Tears, burns, stains)

Glass (Fractures, spiders, chips)

Clutch (Clutch slipping)

Brakes (Squeaky, noisy)

Collision History

Has your vehicle ever been involved in a collision?

If yes, was a Body Shop estimate of repairs written?

Were Body Shop repairs performed? *

Was the vehicle repaired to your complete satisfaction? *

Exterior Condition

Are any of the painted surfaces scratched, rusted, or faded? *

Are there any dents and dings? *

Have any of the painted surfaces been repainted or touched up? *

Does any of the glass have fractures, spiders, or chips? *

Interior Condition

Does the upholstery have tears, burns, or stains? *

Does the stereo system or any of its components need repairs? *

Do all of the gauges and dash functions work? *

Mechanical Condition

Does the engine need any repairs? *

Does the transmission need any repairs? *

Is the clutch slipping or need any repairs? *

Are the brakes squeaking or in need of repair? *

Has the transmission or engine ever been replaced? *

Questionnaire

Has the vehicle ever been a taxi, rental car, or police car?

Has the vehicle ever been in water deeper than the midpoint of the tires?

Has the vehicle ever been declared a "Flood" vehicle?

Is the vehicle's frame in need of repair?

Has your vehicle's frame ever been repaired?

Has the vehicle ever had a salvage title?

Is this a "lemon law buyback" vehicle

Has the vehicle ever been declared a total loss? *

Is the vehicle air bag in working order?

Has the vehicle air bag ever been deployed?

Do you have any of the service records for this vehicle?

Do you have records for any oil change within the last 5000 miles?

Is the catalytic converter attached and working properly?

Are the inspection stickers current?

Has the spare tire ever been used?

Do any of the tires need to be replaced?

Is the pollution control equipment attached and working properly?

Is there anything else we should know about this vehicle?

15505 Roscoe Boulevard | North Hills, CA 91343 | 800-256-7137