Customer Information

• First Name

  *
• Last Name

  *
• Email

  *
• Phone

Boat Information

• Year
• Make
• Model
• HIN (Hull ID)
• Length of Ownership

• Boat Image

  *

Water Use

• Fresh Water
• Salt Water
• Mixed Water

Bottom Paint

• Yes
• No

Bottom Paint Condition (if equipped)

• Good
• Fair
• Poor

Outstanding Loans or Liens

• Yes No
• If Yes, Who is the Lender?

Engine Information

• Engine Year
• Engine Make
• Engine Model / HP
• Engine Hours
• Engine Type

  -- Select -- Single Outboard Twin Outboard I/O Single I/O Twin Jet Diesel
• Drive Type

  -- Select -- Outboard Stern Drive Inboard Jet Drive

Trailer Information

• Trailer Year / Make / Model

Hull Condition

• Excellent
• Good
• Average
• Below Average
• Needs Repairs

Engine Condition Use

• Starts & Runs Good
• Runs Rough
• Won't Start
• Needs Major Repair
• Unknown

Trailer Condition

• Road Ready
• Needs Tires
• Needs Lights
• Needs Brakes
• Rust / Structural Issues

Notes & Evaluation

• Cosmetic Condition Notes
• Mechanical Condition Notes
• Accessories / Electronics
• Known Damage
• Estimated Trade Value ($)

• Customer Signature
• Date

• Submit