"*" indicates required fields 1About the Vehicle2Vehicle Condition3Required Exterior Images4Required Interior Images5Dings, 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 Off Yes - Reparable Write Off Yes - Hail Damage - Reparable I'm Not Sure NO - NEVER Unfortunatly, 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 Type 2 Door Coupe 4 Door Sedan 4 Door Wagon Hatchback Motorbike Truck 4WD Vehicle Color:*Transmission Type:* Auto Manual Tiptronic Fuel Type*PetrolDieselStraight LPGPetrol / LPGDiesel / LPGHybrid ElectricElectricOdometer Reading (KM's):*Registration Expiry Date: MM slash DD slash YYYY Are you the first Owner:* First Owner 2nd Owner 3rd Owner 3+ or Don't Know Do you have the original Log Book?* Yes No Is the Log Book Stamped?* Yes No This field is hidden when viewing the formDate of last Log Book Entry MM slash DD slash YYYY Please provide a photo of the last stamped page in your log book: Drop files here or Select files Accepted file types: jpg, png, gif, pdf, doc, docx, jpeg, Max. file size: 512 MB. Condition of Vehicle* Like New Almost Like New Exellent Very Good Good Average Below Average Poor Has Hail Damage Condition 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 Sets More than (2) Two Sets. Please provide photos of ALL sets of Keys: Drop files here or Select files Accepted file types: jpg, png, gif, pdf, doc, docx, jpeg, Max. file size: 512 MB. 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 Select files Accepted file types: jpg, png, gif, pdf, doc, docx, jpeg, Max. file size: 512 MB. Front of Vehicle Photo:* Drop files here or Select files Accepted file types: jpg, png, gif, pdf, doc, docx, jpeg, Max. file size: 512 MB. Rear of Vehicle Photo:* Drop files here or Select files Accepted file types: jpg, png, gif, pdf, doc, docx, jpeg, Max. file size: 512 MB. Drivers Side of Vehicle Photo:* Drop files here or Select files Accepted file types: jpg, png, gif, pdf, doc, docx, jpeg, Max. file size: 512 MB. Passenger Side of Vehicle Photo:* Drop files here or Select files Accepted file types: jpg, png, gif, pdf, doc, docx, jpeg, Max. file size: 512 MB. Please provide a photo of ONE wheel. Show any scratches and scuffs.* Drop files here or Select files Accepted file types: jpg, png, gif, pdf, doc, docx, jpeg, Max. file size: 512 MB. Photo of front interior* Drop files here or Select files Accepted file types: jpg, png, gif, pdf, doc, docx, jpeg, Max. file size: 512 MB. Photo of dash from drivers position:* Drop files here or Select files Accepted file types: jpg, png, gif, pdf, doc, docx, jpeg, Max. file size: 512 MB. Photo of boot: Drop files here or Select files Accepted file types: jpg, png, gif, pdf, doc, docx, jpeg, Max. file size: 512 MB. Please provide close up photos of ALL INTERIOR problems (burns, rips, tears, marks, stains etc.) Drop files here or Select files Accepted file types: jpg, png, gif, pdf, doc, docx, jpeg, Max. file size: 512 MB. Please provide close up photos of ALL EXTERIOR problems (stone chips, scratches, dents, marks etc.) Drop files here or Select files Accepted file types: jpg, png, gif, pdf, doc, docx, jpeg, Max. file size: 512 MB. Please provide an underbody photo showing your diff (4WD) Drop files here or Select files Accepted file types: jpg, png, gif, pdf, doc, docx, jpeg, Max. file size: 512 MB. 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 Select files Accepted file types: jpg, png, gif, pdf, doc, docx, jpeg, Max. file size: 512 MB. Please provide min 2 photos of the Hail Damage (one close-up - one from a distance). Drop files here or Select files Accepted file types: jpg, png, gif, pdf, doc, docx, jpeg, Max. file size: 512 MB. Δ
