Get Offer
About Us
Locations
How it Works
How Cash For Cars Works
Buying Your Car
Blog
Français
Select Your Language
English
French
800-261-9854
800-261-9854
Disclosure Form
*
VIN
Vehicle Identification Number (V.I.N) You can typically find your VIN in these locations: Driver's side doorjamb, Windshield (lower, driver's side corner), or on Vehicle documentation (registration, insurance policy, lease, etc.)
*
Accident Brand
Located on your vehicle ownership/registration. If a vehicle has been damaged by collision, impact, fire or flood, or has been stolen and dismantled, it may have a “brand” applied to vehicle records that identify the extent of the damage
None/Active
Salvage
Rebuilt
Irreparable
*
Vehicle Information
Fuel Type
GAS
DIESEL
HYBRID
ELECTRIC
*
Drivers License #
General Information
*
Registration Viewed
Do you have possession of the vehicle ownership?
Yes
No
*
VIN Checked
The VIN on the ownership matches the VIN on the driver's side doorjamb as well as the Windshield (lower, driver's side corner).
Yes
No
*
Original Manufacturer VIN
Does the vehicle have the VIN from the manufacturer.
Yes
No
*
Has the vehicle ever been declared a total loss by an Insurer?
Yes
No
*
Has this vehicle been stolen and retrieved?
Yes
No
*
Does this vehicle run?
Yes
No
*
Does this vehicle have a Catalytic converter?
Yes
No
*
Is the vehicle missing the engine?
Yes
No
*
Does the vehicle have hail damage?
Yes
No
*
Does the vehicle have rust holes?
Yes
No
*
Does this vehicle have frame damage?
Yes
No
Within the last seven years has this vehicle been registered in:
*
Other Canadian provinces?
Yes
No
*
Registered in the U.S?
Yes
No
If yes, identify Province(s) and/or State(s)
*
Is Odometer faulty, broken, replaced, or rolled back?
Yes
No
ODOMETER
*
Exact # at time of Appraisal
KM
MILES
Has this Vehicle been:
*
Daily Rental
Has this vehicle been involved in rental or carsharing? I.e. – Taxi, Limo, or Transportation app.
Yes
No
*
Fire Damaged
Yes
No
*
Immersed in water
Yes
No
*
Had any body panels painted or replaced?
Yes
No
*
Emergency Service vehicle
Yes
No
*
Anti-lock brakes inoperable
Is the brake system working properly? ABS light on dashboard.
Yes
No
Any previous repairs exceeding $3,000?
If yes, explain - Describe anything major about the condition of the car. I.e- Engine or transmission failures, frame or sub frame problems, hail damage, or rust with holes.
Yes
No
If yes, explain - Describe anything major about the condition of the car. I.e- Engine or transmission failures, frame or sub frame problems, hail damage, or rust with holes.
Sale Price:
$
CAD
Bill Of Sale
*
Seller Information
Address
*
Vehicle Information
*
Buyer Information
Address Street
*
This Vehicle was sold for the sum of:
$
CAD
Special Conditions of Sale/ General information
*
The vehicle described on this form is free of all liens and encumbrances
Yes
No
Submit Form
Copyright