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(317) 844-7381 | |
| APPRAISER OF MATERIAL DAMAGE | ||
| 9135 N. Meridian St., Suite B-1. | ||
| Indianapolis, Indiana 46260 | ||
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AUTO INSPECTION REPORT |
| Bid On This Auto: |
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Kinder File #: |
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Inspection Date: |
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Insp. File # |
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Policy: |
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Date of Loss |
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Claim: |
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Closing Date For Bids |
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| City: | Status: Open Closed | |
| Location: | ||
| Damage: | Shop Preference: | |
| Special Instructions: | ||
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Year |
Make |
Model/Style |
Engine |
Vehicle Identification Number |
License |
Vehicle Color |
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Year |
Make |
Model/Style |
Engine |
Vehicle Identification Number |
License |
Vehicle Color |
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Ins.Co: |
Adj: |
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Claimant: |
Add: |
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Phone: |
Bus#: |
Res #: |
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Insured: |
Add: |
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Deductible: |
#1 Estimate: |
#2 Estimate: |
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Phone: |
Bus#: |
Res #: |
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Unit Inspected At: |
Date: |
Time: |
| Stereo | √ | Standard Items | √ | Options | √ | Options | √ | Roof | √ | |||||
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AM |
Power Brakes |
Cruise Control |
Rear Defroster |
T-Tops |
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AM-FM |
ABS |
Tinted Glass |
Sun Roof |
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| Cassette |
Power Steering |
Tilt Wheel |
Driver Side SRS |
Steel |
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| Compact Disc |
Air Conditioning |
Power Windows |
Passenger SRS |
Glass |
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| Equalizer |
Auto Transmission |
Power Doors Locks |
Side Impact SRS |
Power | ||||||||||
| Aftermarket |
Manual |
3 | 4 | 5 |
6 |
Power Seats |
4 |
5 | 6 |
Vinyl |
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Tires: |
Brand: |
BW | WW | RWL | ||
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Wheel: Alloy Aluminum Steel Chrome |
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L |
1/32 |
LR |
1/32 |
RR |
1/32 |
RF |
1/32 |
Ave. Wear |
1/32 |
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General Overall Condition: Excellent Above Average Average Below Average Very Poor |
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Notes: |
Open Items/ Hidden Damage |
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Photos: |
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Actual Cash Value |
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Nada Base: |
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Condition: |
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Agreed Shop: |
Yes No |
Our Appraisal: |
Option: |
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Total Loss: |
Yes No |
NW AM LKQ |
ACV: |
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©1999-2004 Bob Kinder and Son, Inc All Rights Reserved