JX | Pre-Owned Truck Appraisal Submission

Summarize Your Submission*

Estimated Turn-In Date*

Quantity of Units*

Date*

Name*

First Last

Email*

Branch*

Customer and/or Company Name*

Customer Address*

Street Address Address Line 2 City State 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*

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*

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

Max. file size: 200 MB, Max. files: 12.