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ROCHESTER FORD

4900 HWY 52 NORTH
ROCHESTER, MN 55901
Phone: 507-288-7564
Fax: 507-252-2532

* Required

Vehicle Information

Year, Make, Model *

VIN

Interior Color

Mileage *

Exterior Color

Vehicle Equipment

Vehicle Equipment (check all that apply)Auto
Manual
AC
Rear AC
Rear Heat
Cruise
Power Windows
Power Seat
Bucket Seats
3rd Row Seat
Leather Seats
CD Player
Sunroof
4WD
2WD

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

Accessories (Running boards, Rear Spoiler, etc.)

Vehicle Condition

Engine/TransmissionNo noises or leaks
Minor noises and leaks
Major noises and leaks

AC/HeaterFully functional
Repairs needed

Steering/SuspensionRepairs needed
Fully Functional

Frame and UnibodyDamaged/Needs Repair
Damage/was repaired

Glass, Lights, LensesNo defects
Windshield cracked
chipped or pitted

Curb Appeal

TiresNewer all matching
Visible wear
Need replacing

RustNone
Minimal
Holes

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

Paint/BodyDents, dings or chips
Damaged
No dents, dings or chips

Pedigree

TitleClean & available
Salvage

Maintenance HistoryOur Shop
Customer can provide
None

Service ContractCoverage remaining
None
coverage expired

Owner HistoryOne owner
Multiple owners

Contact Information

First Name *

Last Name *

Phone Number *

Email Address *

Comments

* Required

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