BOAT EVALUATION FORM

In order for us to better understand the condition of your boat, please fill out the form below.  All information will be kept in the strictest confidence.  We will contact you immediately to discuss your options!

OWNER INFORMATION
Name:
Street:
City: State: Zip:
Phone: Home: Office: Cell:
Leinholder: Approx. Amount Owed: 
Location: Date Available: 
Boat Name: H.I.N.  Req. No. 

BOAT DESCRIPTION
YEAR MAKE MODEL LENGTH
ENGINE CYLINDER H.P. ENGINE HOURS

OWNER'S EVALUATION

Please rate the condition of your vessel.  Please be as honest and accurate as possible

SCALE:  1 = GOOD    2 = FAIR   3 = NEEDS REPAIR

CANVAS
Convertible Top Bimini Top Side Curtains
Aft Curtains Camper Cover Cockpit Cover
Bow Cover Console Cover    

UTILITIES
Shore Power Converter Refrigerator
Stove Head Microwave
Shower Hot Water City Water

ELECTRONICS
VHF Radio Make Model
Depth Finder Make Model
Fish Finder Make Model
Loran Make Model
Radar Make Model

GENERAL EQUIPMENT
Hour Meter Batteries Battery Switch
Horn Wipers Compass
Closed Cooling Mercathode Pressure Water
Engine Gauges Bilge Blowers Bilge Pumps
Windlass Air Conditioning Generator
Arch/Spoiler Stereo Speakers
Spot Light Trim Tabs Halon

APPEARANCE
Hull Scratches Hull Stripes Gelcoat Fading
Vinyl Tears Cabin Cushions Cabin Carpet
Cockpit Carpet Teak Clean? Dock Lines
Anchor Line        

COMMENTS

Please use the space below to provide us with any pertinent information about your

vessel that we should be aware of that you did not find listed above.

           

By checking this box I certify and attest that I am the owner of the boat described above (except as  lienholder is noted above).  The description is both thorough and accurate.