ࡱ> q  Gbjbjt+t+ !AA)]\\\\\\\,AffffA@ %#Tw?y?y?y?y?y?y?$ACl?e\y%AAy%y%?9\\ff999y% \f\fw?p~\\\\y%w?99w?\\w?f|,@u93w?Autosource Pre-Damage Appraisal (PDA) Call in: 800-433-4413 Fax: 800-959-3110 E-mail:  HYPERLINK mailto:autosourcepda@as.csg.com autosourcepda@autosource.adpclaims.com 1/01/02Autosource Value  FORMTEXT      Autosource Request #  FORMTEXT      Product  FORMCHECKBOX  Valuation  FORMCHECKBOX  Market SearchReport Retrieval FORMCHECKBOX  E-mail Address:  FORMTEXT       FORMCHECKBOX  FaxBack Fax # ( FORMTEXT    )  FORMTEXT     -  FORMTEXT       FORMCHECKBOX  Other:  FORMTEXT      Audatex ID # (Required)  FORMTEXT      Co. Name & Branch  FORMTEXT      Claim Rep Name  FORMTEXT      Claim Rep Phone # ( FORMTEXT     )  FORMTEXT       -  FORMTEXT      Loss Date  FORMTEXT      Claim #  FORMTEXT      Policy/Member #  FORMTEXT      Insured Name  FORMTEXT      Insured Phone # ( FORMTEXT     )  FORMTEXT       -  FORMTEXT      Loss Type  FORMTEXT      Market Area (City/Zip/Postal Code)  FORMTEXT      Claimant Name  FORMTEXT      Claimant Phone # ( FORMTEXT     )  FORMTEXT       -  FORMTEXT      License #  FORMTEXT       Odometer  FORMTEXT      Ext. Color  FORMTEXT      VIN FORMTEXT      10th digit-model year A=80 B=81 C=82 D=83 E=84 F=85 G=86 H=87 J=88 K=89 L=90 M=91 N=92 P=93 R=94 S=95 T=96 V=97 W=98 X=99 Y=2000 1=01 2=02 Year  FORMTEXT      Make  FORMTEXT      Model  FORMTEXT      Doors  FORMTEXT      Bodystyle  FORMTEXT       FORMCHECKBOX  Reg Cab  FORMCHECKBOX  Ext Cab  FORMCHECKBOX  Crew Cab  FORMCHECKBOX  StepsideDrive  FORMCHECKBOX  2W FORMCHECKBOX  4WEdition  FORMTEXT      Engine  FORMCHECKBOX  Gas  FORMCHECKBOX Diesel  FORMCHECKBOX  Turbo  FORMCHECKBOX Supercharged Type:  FORMCHECKBOX Other:  FORMTEXT      Engine Size  FORMTEXT      # Cylinders  FORMTEXT      Trans.  FORMCHECKBOX  Auto  FORMCHECKBOX  2 sp  FORMCHECKBOX  3 sp  FORMCHECKBOX  4 sp  FORMCHECKBOX  5 sp  FORMCHECKBOX  CVT  FORMCHECKBOX  Manual  FORMCHECKBOX  3 sp  FORMCHECKBOX  4 sp  FORMCHECKBOX  5 sp  FORMCHECKBOX  6sp# Passenger Capacity:  FORMTEXT      Bed Length:  FORMCHECKBOX  Short  FORMCHECKBOX  LongCapacity/Tonnage:  FORMCHECKBOX  T  FORMCHECKBOX  T  FORMCHECKBOX  1TVan Type:  FORMCHECKBOX  Passenger  FORMCHECKBOX  Cargo  FORMCHECKBOX  Regular  FORMCHECKBOX  Extended  FORMCHECKBOX  Conversion Name:  FORMTEXT       Inspected By FORMTEXT      Date FORMTEXT      Location of Vehicle FORMTEXT      Pool # FORMTEXT       VEHICLE EQUIPMENTPOWER ACC  FORMCHECKBOX  Power Brakes (PB)  FORMCHECKBOX  Power Steering (PS)  FORMCHECKBOX  Power Windows (PW)  FORMCHECKBOX  Power Locks (PL)  FORMCHECKBOX  Power Mirrors (PM)  FORMCHECKBOX  Heated Mirrors (DHM)  FORMCHECKBOX  Cruise Control (CC)  FORMCHECKBOX  Tilt Wheel (TW)  FORMCHECKBOX  Rear Defroster (DEF)  FORMCHECKBOX  Air Cond (AC)  FORMCHECKBOX  Dual Air Cond (DAC)  FORMCHECKBOX  Anti-Lock Brakes (ABS)  FORMCHECKBOX  Air Bag-Driver (ABR)  FORMCHECKBOX  Air Bag-Passenger(DAB)  FORMCHECKBOX  Air Bag Other  FORMTEXT        FORMCHECKBOX  Power Antenna (ANT)  FORMCHECKBOX  Rear Wiper (RWW)  FORMCHECKBOX  Remote Trunk Rls (RTR)RADIOS/ALARMS  FORMCHECKBOX  AM Radio (AM)  FORMCHECKBOX  AM/FM Stereo (FMS)  FORMCHECKBOX  AM/FM Tape (FMC)  FORMCHECKBOX  AM/FM Cass/CD (CDT)  FORMCHECKBOX  CD Player (CD)  FORMCHECKBOX  CD Changer (CDC)  FORMCHECKBOX  Equalizer (GEQ)  FORMCHECKBOX  Removed  FORMCHECKBOX  CB (CB)  FORMCHECKBOX  Alarm System (ALR)  FORMCHECKBOX  Phone (CTP)  FORMCHECKBOX  Remote Starter (RMS)  FORMCHECKBOX  Keyless Entry (KES)  FORMCHECKBOX  Navigation Sys  FORMCHECKBOX  Tachometer (TCH)  FORMCHECKBOX  Center Console (CTC)  FORMCHECKBOX  Overhead Cnsole (OHC)  FORMCHECKBOX  Lighted Entry Sys (LES)SEATS  FORMCHECKBOX  Power Seat (ES)  FORMCHECKBOX  Dual Pwr (ES2)  FORMCHECKBOX  Heated Seats(HSS)  FORMCHECKBOX  Split (SBS)  FORMCHECKBOX  60/40  FORMCHECKBOX  Bucket (BST)  FORMCHECKBOX  Cloth/Velour (VEL)  FORMCHECKBOX  Leather (LTH)  FORMCHECKBOX  Vinyl (VNS)  FORMCHECKBOX  Captain Chairs 2 (CC2)  FORMCHECKBOX  4 (CC4)  FORMCHECKBOX  6 (CC6) PAINT/TRIM/GLASS  FORMCHECKBOX  Tu-Tone (TN2)  FORMCHECKBOX  Custom (CPT)  FORMCHECKBOX  Graphics (GRA)  FORMCHECKBOX  Tinted Glass(OEM)(TNT)  FORMCHECKBOX  Tinted AM  FORMTEXT        FORMCHECKBOX  Privacy Glass (PRG)  FORMCHECKBOX  Rear Spoiler (SPL)ROOF  FORMCHECKBOX  Vinyl Top (VNL)  FORMCHECKBOX  Carriage Roof (CRF)  FORMCHECKBOX  Luggage Rack (RAK)  FORMCHECKBOX  Roll Bar/Lite Bar (BAR)  FORMCHECKBOX  Convertible Top (CON)  FORMCHECKBOX  Hard Top (HTR) SUNROOF  FORMCHECKBOX  Sliding Power (PSU)  FORMCHECKBOX  Sliding Manual (MSR)  FORMCHECKBOX  Pop-UP (PMR)  FORMCHECKBOX  T-Top Glass (GPR)  FORMCHECKBOX  T-Top Solid (TTP) TRICK VANS  FORMCHECKBOX  Refrigerator (RFR)  FORMCHECKBOX  Television (BTV, CTV)  FORMCHECKBOX  Microwave  FORMCHECKBOX  Full Pop-Top  FORMCHECKBOX  Pop-TopBUMPERS  FORMCHECKBOX  Rear Step Bumper (RSB)  FORMCHECKBOX  Tube Bumper  FORMCHECKBOX  Chrome Bumper (CHB)  FORMCHECKBOX  Chrome Stp Bmper(CHS) WHEELS/TIRES  FORMCHECKBOX  Wire Wheels (WW)  FORMCHECKBOX  Wire Wheel Cvrs (WWC)  FORMCHECKBOX  Alloy (ALW)  FORMCHECKBOX  AM  FORMCHECKBOX  Chrome (CHR)  FORMCHECKBOX  AM  FORMCHECKBOX  Styled Steel (STY)  FORMCHECKBOX  Auto Lock Hubs (ALH)  FORMCHECKBOX  Manual Lock (MLH)  FORMCHECKBOX  Wide Tires (WDT)  FORMCHECKBOX  Dual Rear Wheels(DRW) SUSPENSION  FORMCHECKBOX  Trailer Tow Pkg. (TOW)  FORMCHECKBOX  Camper Special  FORMCHECKBOX  Trailer Hitch (TRH)OTHER  FORMCHECKBOX  Grill Guard (GG))  FORMCHECKBOX  Fog Lights (FOG)  FORMCHECKBOX  Winch (WCH)  FORMCHECKBOX  Canopy (CAN)  FORMCHECKBOX  Camper Shell (CSH)  FORMCHECKBOX  Bed Liner (BDL)  FORMCHECKBOX  Rear Tool Box (TBX)  FORMCHECKBOX  Extra Tank (AUX)  FORMCHECKBOX  Hydraulic Liftgate (HGT)  FORMCHECKBOX  Lift Kit (LO3)(LO6)(L10)  FORMCHECKBOX  Ground Eff. Pkg.(GRD)  FORMCHECKBOX  Lowered  FORMTEXT       in.(LOW)  FORMCHECKBOX  Side Rear Wind (SRW)  FORMCHECKBOX  Exterior Visor (  FORMCHECKBOX  Dash Mat  FORMCHECKBOX  Running Boards (RNB)  FORMCHECKBOX  BRA  FORMCHECKBOX  Air Dam (FAD)EQUIPMENT NOTES:  FORMTEXT       FORMTEXT       VEHICLE CONDITION Check either Sub-category (Seats/Paint/Engine/etc.) or Category (INT/EXT/MECH/TIRE) or write in Description and $ amount.INTERIOR FORMCHECKBOX  ABOVE AVERAGE FORMCHECKBOX  AVERAGE FORMCHECKBOX  BELOW AVERAGESEATS: FORMCHECKBOX  Restored FORMCHECKBOX  Good FORMCHECKBOX  Minor Wear FORMCHECKBOX  Moderate Wear FORMCHECKBOX  Needs ReplacingDesc/$:  FORMTEXT      CARPETS: FORMCHECKBOX  Restored FORMCHECKBOX  Good FORMCHECKBOX  Minor Wear FORMCHECKBOX  Moderate Wear FORMCHECKBOX  Needs ReplacingDesc/$:  FORMTEXT      DASH/TRIM: FORMCHECKBOX  Restored FORMCHECKBOX  Good FORMCHECKBOX  Minor Wear FORMCHECKBOX  Moderate Damage FORMCHECKBOX  Needs ReplacingDesc/$:  FORMTEXT      GLASS: FORMCHECKBOX  Recently Replaced FORMCHECKBOX  Good FORMCHECKBOX  Minor Wear FORMCHECKBOX  Needs Repair FORMCHECKBOX  Needs ReplacingDesc/$:  FORMTEXT      HEADLINER: FORMCHECKBOX  Restored FORMCHECKBOX  Good FORMCHECKBOX  Minor Wear FORMCHECKBOX  Moderate Wear FORMCHECKBOX  Needs ReplacingDesc/$:  FORMTEXT      EXTERIOR FORMCHECKBOX  ABOVE AVERAGE FORMCHECKBOX  AVERAGE FORMCHECKBOX  BELOW AVERAGEBODY FORMCHECKBOX  Restored FORMCHECKBOX  Good FORMCHECKBOX  Minor Damage FORMCHECKBOX  Moderate Damage FORMCHECKBOX  Serious DamageDesc/$:  FORMTEXT      PAINT FORMCHECKBOX  New FORMCHECKBOX  Good FORMCHECKBOX  Minor Wear FORMCHECKBOX  Moderate Damage FORMCHECKBOX  Needs RepaintingDesc/$:  FORMTEXT       Repainted FORMCHECKBOX  Yes  FORMCHECKBOX  NoDate:  FORMTEXT      Cost: $  FORMTEXT      TRIM: FORMCHECKBOX  New FORMCHECKBOX  Good FORMCHECKBOX  Minor Damage FORMCHECKBOX  Moderate Damage FORMCHECKBOX  Needs ReplacingDesc/$:  FORMTEXT      ROOF/TOP: FORMCHECKBOX  Restored FORMCHECKBOX  Good FORMCHECKBOX  Minor Damage FORMCHECKBOX  Moderate Damage FORMCHECKBOX  Needs ReplacingDesc/$:  FORMTEXT      MECHANICAL FORMCHECKBOX  ABOVE AVERAGE FORMCHECKBOX  AVERAGE FORMCHECKBOX  BELOW AVERAGEENGINE: FORMCHECKBOX  New/Rebuilt FORMCHECKBOX  Well Maint FORMCHECKBOX  Minor Wear FORMCHECKBOX  Needs Minor Work FORMCHECKBOX  Needs Major WorkDesc/$:  FORMTEXT      Rebuilt Engine FORMCHECKBOX  Yes FORMCHECKBOX  NoMiles on Rebuilt FORMTEXT      Cost: $  FORMTEXT      TRANS: FORMCHECKBOX  New/Rebuilt FORMCHECKBOX  Well Maint FORMCHECKBOX  Minor Wear FORMCHECKBOX  Needs Minor Work FORMCHECKBOX  Needs Major WorkDesc/$:  FORMTEXT      Rebuilt Trans FORMCHECKBOX  Yes FORMCHECKBOX  NoMiles on Rebuilt FORMTEXT      Cost: $  FORMTEXT      OTHER MECHANICAL RECEIPTSDesc/$:  FORMTEXT      Date work done/Part(s): FORMTEXT      TIRES FORMCHECKBOX  ABOVE AVERAGE FORMCHECKBOX  AVERAGE FORMCHECKBOX  BELOW AVERAGEFRONT FORMCHECKBOX  New or 80-100% of tread. Rubber nubs visible amid tire tread. FORMCHECKBOX  Good or 30-79% tread remains. FORMCHECKBOX  Worn or 0-29% of tread remains. Wear bar visible amid tire tread.REAR FORMCHECKBOX  New or 80-100% of tread. Rubber nubs visible amid tire tread. FORMCHECKBOX  Good or 30-79% tread remains. FORMCHECKBOX  Worn or 0-29% of tread remains. 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