1 About the Vehicle2 Vehicle Condition3 Required Exterior Images4 Required Interior Images5 Dings, Dents, Scratches Etc Your Name* First Middle Last Your Contact Number*Year of Vehicle:*Make of Vehicle:*Vehicle Model:*Has the Vehicle ever been declared a write off?*Yes - Statutory Write OffYes - Reparable Write OffYes - Hail Damage - ReparableI'm Not SureNO - NEVERUnfortunatly, we are not able to assist with Statutory Write Off Vehicles. If you have any questions, or if there is someone else we can assist you with, please click "Next" and one of our Team will be in contact with you shortly. Alternativly, you can contact us on 1300 538 346About Your VehicleBody Type2 Door Coupe4 Door Sedan4 Door WagonHatchbackMotorbikeTruck4WDVehicle Color:*Transmission Type:*AutoManualTiptronicFuel Type*PetrolDieselStraight LPGPetrol / LPGDiesel / LPGHybrid ElectricElectricOdometer Reading (KM's):*Registration Expiry Date: Date Format: MM slash DD slash YYYY Are you the first Owner:*First Owner2nd Owner3rd Owner3+ or Don't KnowDo you have the original Log Book?*YesNoIs the Log Book Stamped?*YesNoDate of last Log Book Entry Date Format: MM slash DD slash YYYY Please provide a photo of the last stamped page in your log book: Drop files here or Condition of Vehicle*Like NewAlmost Like NewExellentVery GoodGoodAverageBelow AveragePoorHas Hail DamageCondition of Tyres*Like New ( 95% + )Very Good ( 75% - ( 95% )Good ( 50% - 75% )Average Wear ( Around 50% )Done some KM's ( 20% - 50% )Pretty Worn ( Less 20% )Sets of Keys:*(1) One Set Only(2) Two SetsMore than (2) Two Sets.Please provide photos of ALL sets of Keys: Drop files here or Detail All Know Mechanical Issues (including any warning lights in your dash ):Your Payout Figure ( If Applicable ):Who is your current Financier? Please provide photos front cover and inside of front cover if you have the Original Owners Manual. Drop files here or Front of Vehicle Photo:* Drop files here or Rear of Vehicle Photo:* Drop files here or Drivers Side of Vehicle Photo:* Drop files here or Passenger Side of Vehicle Photo:* Drop files here or Please provide a photo of ONE wheel. Show any scratches and scuffs.* Drop files here or Photo of front interior* Drop files here or Photo of dash from drivers position:* Drop files here or Photo of boot: Drop files here or Please provide close up photos of ALL INTERIOR problems (burns, rips, tears, marks, stains etc.) Drop files here or Please provide close up photos of ALL EXTERIOR problems (stone chips, scratches, dents, marks etc.) Drop files here or Please provide an underbody photo showing your diff (4WD) Drop files here or Please provide an underbody photo of your diffPlease provide min 2 underbody photos of your suspension (one close-up, one from a distance). (4WD) Drop files here or Please provide min 2 photos of the Hail Damage (one close-up - one from a distance). Drop files here or