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APPRAISER OF MATERIAL DAMAGE   
9135 N. Meridian St., Suite B-1.
Indianapolis, Indiana 46260 
     

AUTO INSPECTION REPORT

  Bid On This Auto:

Kinder File #:

Inspection Date:

Insp. File #

Policy:

Date of Loss

Claim:

Closing Date For Bids

City: Status:OpenClosed
Location:
Damage: Shop Preference:
Special Instructions:

Year

Make

Model/Style

Engine

Vehicle Identification Number

License

Vehicle Color

Year

Make

Model/Style

Engine

Vehicle Identification Number

License

Vehicle Color
 

Ins.Co:

Adj:

Claimant:

Add:

Phone:

Bus#:

       Res #:


Insured:

Add:

Deductible:

#1 Estimate:

#2 Estimate:

Phone:

Bus#:

       Res #:


Unit Inspected At:

Date:

Time:


Stereo Standard Items Options Options Roof

AM

Power Brakes

Cruise Control

Rear Defroster

T-Tops

AM-FM

ABS

Tinted Glass

   

Sun Roof

Cassette

Power Steering

Tilt Wheel

Driver Side SRS

Steel

Compact Disc

Air Conditioning

Power Windows

Passenger SRS

Glass

Equalizer

Auto Transmission

Power Doors Locks

Side Impact SRS

Power
Aftermarket

Manual

3 4 5

6      

Power Seats

4

5 6    

Vinyl

Tires:

Brand:

BW WW RWL

 Wheel:  AlloyAluminumSteelChrome

L

1/32

LR

1/32

RR

1/32

RF

1/32

Ave. Wear

1/32

General Overall Condition: ExcellentAbove AverageAverageBelow AverageVery Poor


Notes:

Open Items/ Hidden Damage


Photos:

 

Actual Cash Value

 

Nada Base:

 

Miles:

 

   

Condition:

Agreed Shop:

YesNo

Our Appraisal: 

Option:

Total Loss:

YesNo  

NWAMLKQ

ACV:

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