Tell Us About You and Your Coach!

At this time we are purchasing year 2000 and newer motorhomes.

Please be honest and accurate when gathering info for filling out form. Offers are based on this info that will be verified upon physical inspection. Any inaccuracies will be negotiated.

Please provide the general condition of your RV below. Include any delamination areas (bubbles on sides), water leaks, windshield chips, or anything that is not working.

Please list all major equipment (generator, etc.) on your RV.

Please list any alterations or changes made on your RV.

PLEASE NOTE: The selections marked with a * must be completed in order to submit this form.

*Your name:
City and State Coach Is In?:
Year and Size of RV:
Make, Model, & Model Number:
Vin Number:
General Condition of RV:
Are miles true and actual?: Yes      No
Any salvage history?:
Major Equipment:
Interior Colors:
Color of Wood:
Exterior Colors:
Number of Slides:
If gas powered, Ford or Workhorse?:
If diesel, what horsepower,
and 4, 5 or 6 speed transmission?:
Alterations or Changes:
Any pets or smokers in the coach?:
RV Lived In?: Yes      No
Any body damage? If yes, where?:
Is anything owed on RV, what bank, how much?:
Any Additional Information: