Please describe the overall condition of this vehicle. Be very detail orientated and honest. Please include any major awards that this car may have received. Any information that might seem unimportant to you might be to someone else so please provide as much information as possible!!!!

Owner's Name

First Name    Last Name

Address

Address   City State   Zip

Email Address  

Phone Numbers

Home # --

Cell #    --

Work # --

Other # --

Where is the vehicle located?

Where is the vehicle titled?

Is there a lien?   Yes   No

If yes, 10 day payoff $

Vehicle Information

VIN #

Vehicle year

Manufacturer

Model

Engine Size / Number

Transmission   Auto  Manual                 Transmission model

Mileage     Are the miles actual?   Yes   No

How many miles have you driven this vehicle in the last 12 months?

Is the vehicle stored in winters?  Yes   No  If yes, where?

Is this vehicle a matching numbers car? (Is the engine original to the car) Yes   No

Is the vehicle restored? Yes   No

If restored explain, where, how, when and by whom. Describe vehicle condition before restoration.

Vehicle Description

Exterior Color

Factor name of color

Please rate the condition of the paint 1 to 10 (10 being perfect)

Please give a few more details of the condition of the paint on this car. Please tell if there are any scratches or dings in the car anyplace. When was the vehicle last painted  and have there been any touch ups. Is the paint a lacquer, clear coat? Was the trim remover before the car was painted?

Please rate the chrome on the car 1 to 10 (10 being perfect)

Interior Color

Interior Surface?  Cloth  Leather  Vinyl

Interior Condition

Has the interior been detailed?  Yes  No

Dash condition

Panels, headliner condition

Are all the gauges, radio, knobs the original type?   Yes  No

Please explain

Does everything work in this car? Including gauges, knobs, radio and interments?Yes  No

If no, Please explain

Please provide a list of the options that this vehicle has.

Trim tag information

Please provide all the information on the trip tag. Including any numbers found on the motor if possible.

Reserve (net $ in your pocket)     $
Please remember that this is an auction and we stand a better chance of reaching your reserve with the reserve set to your bottom dollar that you will take for the vehicle. In most cases if there reserve is met it will climb from there to add more money in your pocket once the auction is finished

Terms and Conditions

The seller will not hold top Shelf Reps liable for any misrepresentation. If the vehicle is sold and found to have been materially misrepresented the seller will be responsible to refund the buyers 5% Deposit. We urge you to be completely honest and only state facts you know to be true. When describing your vehicle, please refrain from using terms like Flawless, Perfect, nicest ever. These terms are very subjective and hard to prove or disprove. If you are uncertain ask one of our sales reps.
· The reserve price is the minimum you are willing to accept for the vehicle. Our goal is to drive the price considerably higher but once you sign this agreement we are working for you and need to know the bottom dollar you are willing to accept for the vehicle. The success fee will be 5% of the final selling price over your reserve. Not off the reserve price. Example If the net price to is set at $20,000.00 we will set the eBay reserve at $21,00.00 if the vehicle brings $30,000.00 our success fee will be figured off the final price. Putting a net of $28,500.00 in your pocket.
· Success fees are typically a % (5%) above and beyond your reserve. Top Shelf Reps does reserve to alter our success fee to put a deal together. Success fees are collected from the buyer not the seller

Unless special circumstances have been agreed to.
· Reserves cannot be raised once an auction has started. So make sure your reserve is priced correctly. · I understand Top Shelf Reps cannot control bidders and therefore will not be held liable for non-paying or bogus Bidders.
· I understand once the reserve is met thru eBay I am obligated to sell this vehicle. Any reserve changes must be done before the auction starts and done thru e-mail.

Agree to Terms and Conditions Yes  No

Please make checks payable to:

Top Shelf Reps
3419 Winterfield Run
Fort Wayne, In 46804

 Or go to www.paypal.com and send funds to funds@topshelfreps.com

 Listing fees are $89.95 for a 3,5 and 7-day auction

 Contact information:

Bill Schwartz
Top Shelf Reps
260-432-2291
260-249-0399 (cell)
bill@topshelfreps.com