All vehicles must have a legal title or proof of ownership, and wheels and tires.

Description of vehicle: Year Make Model

Check all that apply:

Title     Proof of Ownership

Wheels and Tires     Flat Tires

Engine     Transmission     Rear End

Runs     Yes     No

The following fields must be completed:

Owner's Name

Location of Vehicle:

Address City

Stored: In garage     Outside

Access: Alley     Street     Dirt or grass field or yard (truck and trailer access necessary)

Enter an e-mail address where we can send a confirmation order to

I certify that I am the legal owner of the above described vehicle and that I will be able to produce a legal title or proof of ownership at the time of pickup. I understand that payment will be required at the time of pickup, by either cash, check or money order only.