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Vehicle Information

Year: *

Make: *

Model: *

State Purchased: *

Current Mileage: *

New or Used?: *

New

Used

Purchased or Leased?: *

Purchased

Leased

Repair Information

Engine/Transmission:

Engine Problem Still Exists?:

Yes

Suspension, Steering, & Brakes:

Suspension, Steering, & Brakes Problem Still Exists?:

Yes

Electrical:

Electrical Problem Still Exists?:

Yes

Heating/Air Conditioner:

Heating/Air Conditioner Problem Still Exists?:

Yes

Aesthetic (paint, molding, interior):

Aesthetic Problem Still Exists?:

Yes

Water Leak:

Water Leak Problem Still Exists?:

Yes

Noises:

Noises Problem Still Exists?:

Yes

Other:

Other Problem Still Exists?:

Yes

Contact Information

Name: *

Phone: *

E-mail:

Comments:

1523 W. Koenig Lane, Austin, Texas 78756
512.206.4242 | 512.206.4243 (fax) | Contact Us

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