Cash Quote Simple Form | SuffolkJunkCars.com

Customer Information

Full Name*

Zipcode where vehicle is located*

Your Email (For us to send a Guaranteed Cash Quote)*

Vehicle Information

Year*

Make*

Model*

Trim Level

The "Trim Level" is also known as a "Sub Model" such as LX, GT, SE, LIMITED, etc.

Color*

What is the approximate MILEAGE on the Odometer?*

Do you have the TITLE for this vehicle?*

Do you have KEYS for the vehicle?*

Do all the TIRES have air?*

Where are the FLAT TIRES located on the vehicle?*

Driver Side FRONT
Passenger Side FRONT
Driver Side REAR
Passenger Side REAR

Which WHEELS are MISSING?*

Driver Side FRONT
Passenger Side FRONT
Driver Side REAR
Passenger Side REAR

Does the vehicle START at this time?*

Are the Engine, Transmission and Battery complete under the hood?*

Is the BATTERY missing from the vehicle?*

Are the engine or transmission REMOVED from the car?*

What is missing under the hood?*

Does the vehicle DRIVE at this time?*

Do you know why the vehicle will not drive?*

Are any BODY PARTS (doors, bumpers, hood, etc.) LOOSE or MISSING from the vehicle?*

YES
No

Where are the LOOSE or MISSING panels located on the vehicle?*

Driver Side FRONT
Passenger Side FRONT
Driver Side REAR
Passenger Side REAR

Does the vehicle have any baseball-sized or larger DENTS or DAMAGE?*

YES
No

Where are the DENTS or DAMAGE located?*

Driver Side FRONT
Passenger Side FRONT
Driver Side REAR
Passenger Side REAR

Are any MIRRORS,GLASS or LIGHTS CRACKED or DAMAGED?*

YES
No

Where is the CRACKED glass located on the vehicle?*

Driver Side FRONT
Passenger Side FRONT
Driver Side REAR
Passenger Side REAR

Are any INTERIOR PARTS (seats, airbags, radio, etc.) MISSING from the vehicle?*

YES
No

Does the vehicle have any FLOOD or FIRE damage?*

YES
No

What is your ASKING PRICE for this vehicle?*

How did you hear about us?*

Please tell us how you heard about us*

(OPTIONAL) Upload any photos you would like us to see

Drop files here or

(OPTIONAL) Include any extra information you would like us to know

Vehicle Offer Form

Customer Information

Vehicle Information