Ivy Auto Group: Broker Services

BROKER FORM: Please complete in full and click 'Submit'.

1. Make (List all that apply):

2. Model (list all that apply, be specific):

3. Years (list all that apply):

4. Transmission (select one):
Automatic Manual Either

5. Maximum Mileage (List the highest acceptable mileage):
miles

6. Options (List all that are necessities for you such as Air Conditioning, Power Windows, etc.):

7. Exterior Condition
Excellent: Few scrapes, no dents, no rust, acceptable wear for year of the car.
Very Good: Few scrapes, one or two minor dents, no rust, acceptable wear.
Good: Average number of scrapes, few dents, little or no rust, more than average wear.
Average: More than average number of scrapes, few dents, average rust, more than average wear.
Acceptable: For older cars (1980's) with high mileage. High number of scrapes, two or more dents, no structural damage or salvage title, rust, more than average wear.

8. Interior Condition
Excellent: No stains, new car smell, all parts in like new condition, no dust, acceptable wear for year of the car.
Very Good: Few stains, fresh smell, little dust, all parts in like new condition.
Good: Some stains, dust, one or two parts loose, some dirt.
Average: Stains throughout car, some tears, some parts loose, dirt in seats.
Acceptable: For older cars(1980's) with high mileage, expect acceptable number of tears, loose parts, stains, dirt.

9. Color Exclusion: (are there any colors that are absolutely unacceptable? Please list. Keep in mind that the broader the choices, the faster we will be able to locate your vehicle).

10. Purchase Price (the most that you are willing to pay for this vehicle, title, taxes, fees, not included)
$

11. Other Information (Enter any other information you feel is important for us to know about your automobile requirements).

Contact Information:
Name:
Phone:	(the number that you can be reached most easily).
Email:
Re-enter Email:
Address: