Bettenhausen Splash
17514 Oak Park Avenue | Tinley Park, IL 60477 | 866-314-3735
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Value Your Trade
Use the form below to tell us about the vehicle you'd like to trade in and we will get back to you to discuss trade-in value:
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fields are required.
Contact Information
Contact Information
First Name:
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Last Name:
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Address:
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City:
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State Issued:
choose one:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
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Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
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Montana
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New Hampshire
New Jersey
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New York
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Ohio
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Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip:
(Area Code) Daytime Phone:
EMail:
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Vehicle Information
Vehicle Information
Year:
Make:
Model
Doors
choose one:
2 Door
4 Door
Hatchback
Trim Level (if known)
Interior Color
Exterior Color
Cylinders
Liters
Mileage:
Vehicle Identification No.:
Transmission
choose one:
Automatic
Manual
Lien Holder
Estimated Payoff
Vehicle Options
Vehicle Options
AM/FM Radio
choose one:
Yes
No
Cassette
choose one:
Yes
No
CD
choose one:
Yes
No
CD Changer
choose one:
No
In Dash
External
Power Windows
choose one:
Yes
No
Power Locks
choose one:
Yes
No
A/C
choose one:
Yes
No
Rear A/C
choose one:
Yes
No
ABS
choose one:
Yes
No
Cruise Control
choose one:
Yes
No
Tilt Control
choose one:
Yes
No
Roof Rack
choose one:
Yes
No
Sunroof
choose one:
No
Sliding
Pop-up
Alloy Wheels
choose one:
Yes
No
Drive Train
choose one:
4WD
AWD
FWD
RWD
Tow Package
choose one:
Yes
No
Dual Air Bags
choose one:
Yes
No
Side Air Bags
choose one:
Yes
No
Power Seat(s)
choose one:
No
Driver
Pass
Both
Leather Seating
choose one:
Yes
No
Overall Vehicle Condition
Overall Vehicle Condition
Rate the condition of the following: 1 being Poor, 10 being Excellent.
Metal/Paint (Scratches, dings, dents, rust, fading)
*
choose one:
1
2
3
4
5
6
7
8
9
10
Tires (50% tread wear - replacement)
choose one:
1
2
3
4
5
6
7
8
9
10
Upholstery (Tears, burns, stains)
choose one:
1
2
3
4
5
6
7
8
9
10
Glass (Fractures, spiders, chips)
choose one:
1
2
3
4
5
6
7
8
9
10
Clutch (Clutch slipping)
choose one:
1
2
3
4
5
6
7
8
9
10
n/a
Brakes (Squeaky, noisy)
choose one:
1
2
3
4
5
6
7
8
9
10
Collision History
Collision History
Has your vehicle ever been involved in a collision?
choose one:
yes
no
If yes, was a Body Shop estimate of repairs written?
choose one:
n/a
yes
no
Were Body Shop repairs performed?
*
choose one:
n/a
yes
no
Was the vehicle repaired to your complete satisfaction?
*
choose one:
n/a
yes
no
Exterior Condition
Exterior Condition
Are any of the painted surfaces scratched, rusted, or faded?
*
choose one:
yes
no
Are there any dents and dings?
*
choose one:
yes
no
Have any of the painted surfaces been repainted or touched up?
*
choose one:
yes
no
Does any of the glass have fractures, spiders, or chips?
*
choose one:
yes
no
Interior Condition
Interior Condition
Does the upholstery have tears, burns, or stains?
*
choose one:
yes
no
Does the stereo system or any of its components need repairs?
*
choose one:
yes
no
Do all of the gauges and dash functions work?
*
choose one:
yes
no
Mechanical Condition
Mechanical Condition
Does the engine need any repairs?
*
choose one:
yes
no
Does the transmission need any repairs?
*
choose one:
yes
no
Is the clutch slipping or need any repairs?
*
choose one:
n/a
yes
no
Are the brakes squeaking or in need of repair?
*
choose one:
yes
no
Has the transmission or engine ever been replaced?
*
choose one:
yes
no
Questionnaire
Questionnaire
Has the vehicle ever been a taxi, rental car, or police car?
choose one:
yes
no
Has the vehicle ever been in water deeper than the midpoint of the tires?
choose one:
yes
no
Has the vehicle ever been declared a "Flood" vehicle?
choose one:
yes
no
Is the vehicle's frame in need of repair?
choose one:
yes
no
Has your vehicle's frame ever been repaired?
choose one:
yes
no
Has the vehicle ever had a salvage title?
choose one:
yes
no
Is this a "lemon law buyback" vehicle
choose one:
Yes
NO
Has the vehicle ever been declared a total loss?
*
choose one:
yes
no
Is the vehicle air bag in working order?
choose one:
yes
no
Has the vehicle air bag ever been deployed?
choose one:
yes
no
Do you have any of the service records for this vehicle?
choose one:
yes
no
Do you have records for any oil change within the last 5000 miles?
choose one:
yes
no
Is the catalytic converter attached and working properly?
choose one:
yes
no
Are the inspection stickers current?
choose one:
yes
no
Has the spare tire ever been used?
choose one:
yes
no
Do any of the tires need to be replaced?
choose one:
yes
no
Is the pollution control equipment attached and working properly?
choose one:
yes
no
Is there anything else we should know about this vehicle?
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