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Rental
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FINANCING
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Bloomington, IL
Bolingbrook, IL
Champaign, IL
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Effingham, IL
Elmhurst, IL
Hickory Hills, IL
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Pre-Owned Truck Appraisal Submission
Ashley Guthrie
2020-04-24T09:16:59-05:00
Pre-Owned Truck Appraisal Form for JX Employees
Pre-Owned Truck Appraisal Submission
Summarize Your Submission
*
Estimated Turn-In Date
*
MM slash DD slash YYYY
Quantity of Units
*
Date
*
MM slash DD slash YYYY
Name
*
First
Last
Email
*
Branch
*
Customer and/or Company Name
*
Customer Address
*
Street Address
Address Line 2
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Title/Model Year
*
Model
*
VIN
*
OPTIONAL Image of Door Panel/VIN Plate
Max. file size: 200 MB.
Sleeper
*
Yes
No
Sleeper Configuration
*
High Roof
Mid Roof
Flat Top
N/A
Sleeper Size
Bunk Bed
*
Yes
No
Not Applicable
Interior Options
*
Premium Level
Mid Level
Basic Level
Engine Make
*
Horsepower
*
Engine Liters
*
OPTIONAL Image of Engine Data Plate
Max. file size: 200 MB.
Transmission
*
OPTIONAL Image of Transmission Placard
Max. file size: 200 MB.
Miles
*
Hours
*
Exhaust Location
*
Back of Sleeper
Back of Cab
Side of Cab
Horizontal
Dual Side of Cab
Fairing
*
Partial
Three Quarter
Full
Wheelbase - Inches
*
Hood Length - Inches
Wheels - Steer
*
Aluminum
Steel
Wheels - Drives/Pusher
*
Aluminum
Steel
Aluminum Outers
Tires(s) - Steer Depth
*
Tire(s) - Drives
*
Virgin Rubber
Duals
Recaps
Super Singles
Tire(s) - Drive Depth
*
Front Brakes
*
0-25%
26-50%
51-75%
76-100%
Rear Brakes
*
0-25%
26-50%
51-75%
76-100%
Axle Configuration
*
6x4
6x2
Tri-Axle
Quad-Axle
Front Axle-Weight
*
Rear Axle-Weight
*
Suspension (EX - Air, Spring, etc.)
*
Fifth Wheel
*
Sliding
Fixed
Not Applicable
Lockers
*
Yes
No
Double Frame
*
Yes
No
Aftertreatment System
*
Please answer to your best knowledge, ask for clarification from customer if needed.
Working/Functioning
Deleted
Cleaned Within 75k Miles
Overall Condition
*
Please list any degradable issues or value add's (*Oil Leaks, Clutch, Engine History, Recent Overhaul, etc.)
Please Attach 6 or More Photos
*
Drivers Side, Passenger Side, Rear View, and Interior
Drop files here or
Select files
Max. file size: 200 MB, Max. files: 12.
Δ
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