Vehicle Damaged? Yes
Fuel Level Adjusted? No
Missing Items? Yes
Event: LA
F/E Yes
B/E Yes
VIN: JTDACAAJ3S3007292
Ext Color: Brown
Odometer Front-End: 5
Odometer Back-End: 5
Stock# 22
Model: Crown Signia
Body Style: 4 Door Sport Utility
F/E Fuel Level: Empty
# Keys: 2
B/E Fuel Level: Empty
# Fobs: 2
Added or Removed Items
Antenna: Remained
Floor Matts - Carpet: Remained
Floor Matts - Rubber: N/A-Arrived w/o
Knobs: Removed
# of knobs removed: 1
Shift Knob: Removed
Owners Manual: Removed
Cup Holder Inserts: Removed
Headphones: N/A-Arrived w/o
DVD Remote: N/A-Arrived w/o
SD Nav Card: N/A-Arrived w/o
Charge Cord: N/A-Arrived w/o
Front License Bracket: Removed
Bed Liner: No
Spare Tire: N/A-Arrived w/o
Tire Jack: N/A-Arrived w/o
Loose Tools, Hook: Removed
First Aid Kit: Removed
Air Compressor: Removed
Tow Hitch Cap: N/A-Arrived w/o
Cargo Shade: N/A-Arrived w/o
Cargo Net: N/A-Arrived w/o
Cargo Management System: N/A-Arrived w/o
Cargo Mat Carpet: N/A-Arrived w/o
Cargo Mat Rubber: N/A-Arrived w/o
Items Bagged/Stored Pre-Show: Yes
Added/Removed Items Notes: Na
Installed Uplift Items
Na
Missing Uplift Items
Na
Additional Comments:
Na
Damage Photos
Damage Area
Severity
Dash/Instrument Panel
Broken (Except glass)
Missing/Severe Damage
Frontend Inspection Date: 2024-11-16
Frontend Inspector's Name: CK
Backend Inspection Date: 2024-12-01
Backend Inspector's Name: Robert Sanders
Person receiving vehicle- Inspect vehicle before accepting possession. Take picture of any
additional damage found and note damage and any additional missing items not captured on
this form.
Vehicle Received by (Print Name):
Date Received: