Rochester Ford

4900 HWY 52 NORTH
ROCHESTER, MN 55901
Phone: 800-409-5176
Fax: 507-252-2532

* Required

Vehicle Information

Year, Make, Model *

VIN

Interior Color

Mileage *

Exterior Color

Vehicle Equipment

Vehicle Equipment (check all that apply)WD
3rd Row Seat
4WD
AC
Auto
Bucket Seats
CD Player
Cruise
Leather Seats
Manual
Power Seat
Power Windows
Rear AC
Rear Heat
Sunroof

Additional Equipment (Power locks, Tilt Wheel, etc.)

Accessories (Running boards, Rear Spoiler, etc.)

Engine/TransmissionMajor noises and leaks
Minor noises and leaks
No noises or leaks

AC/HeaterFully functional
Repairs needed

Steering/SuspensionFully Functional
Repairs needed

Frame and UnibodyDamage/was repaired
Damaged/Needs Repair

Glass, Lights, Lenseschipped or pitted
No defects
Windshield cracked

Curb Appeal

TiresNeed replacing
Newer all matching
Visible wear

RustHoles
Minimal
None

Upholstery/CarpetClean
Stained, faded or worn
Torn, burned or cracked

Paint/BodyDamaged
Dents, dings or chips
No dents, dings or chips

Pedigree

TitleClean & available
Salvage

Maintenance HistoryCustomer can provide
None
Our Shop

Service Contractcoverage expired
Coverage remaining
None

Owner HistoryMultiple owners
One owner

Contact Information

First Name

Last Name

Phone Number

Email Address

Comments

* Required

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