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We respond within one business day. * Required fields
First Name *
Last Name *
Email *
Best Contact Number *
Postcode *
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Is your car registered in a company name? * -- Select --NoYes
Registered First Name *
Registered Last Name *
Registered Address 1 *
Registered Address 2
Suburb *
Is the location of the car at the same address? * -- Select --YesNo
Car Location Address 1 *
Car Location Address 2
Car Location Suburb *
Car Location Postcode *
Copy of Licence * Image or PDF, max 10MB. I'll provide this when the car is collected from me
Comprehensive Insurance Policy * Image or PDF, max 10MB. I'll provide this when the car is collected from me
Registered Business Name *
ABN *
Business Address 1 *
Business Address 2
Authorised to act on behalf of this company? * -- Select --YesNo
Authorised Person First Name *
Authorised Person Last Name *
Company Registration Certificate * Image or PDF, max 10MB. I'll provide this when the car is collected from me
Proof of Ownership * Image or PDF, max 10MB. I'll provide this when the car is collected from me
Authorised Person's Licence * Image or PDF, max 10MB. I'll provide this when the car is collected from me
Earliest available date is 5 days from today. Day 1 is required; add more to give us flexibility.
Preferred Day 1 *
Preferred Day 2
Preferred Day 3
Preferred Day 4
Preferred Day 5
Preferred days * Select at least 3 (up to 5) days, then choose mornings or afternoons for each. MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Monday * -- Select --MorningsAfternoons
Tuesday * -- Select --MorningsAfternoons
Wednesday * -- Select --MorningsAfternoons
Thursday * -- Select --MorningsAfternoons
Friday * -- Select --MorningsAfternoons
Saturday * -- Select --MorningsAfternoons
Sunday * -- Select --MorningsAfternoons
Do you prefer if prospective buyers do not meet Nexca at your car's location address? * -- Select --YesNo
Vehicle Registration *
Current Odometer Reading *
Service history -- Select --Complete and up to dateIncomplete but up to dateIncompleteNone
Last service date
Last service kilometers
Vehicle books available (e.g. owner's manual) -- Select --YesNo
Number of keys/key fobs available *
Is there any urgency to sell your car? -- Select --YesNo
Is the car currently advertised on Carsales? * -- Select --NoNo, but advertised elsewhere onlineYes
Finance payout figure (if applicable)
Roadworthy Certificate (if applicable)
Date of issue
Copy of certificate (optional)
I'll provide this when the car is collected from me
Remaining months of factory warranty
Remaining months of aftermarket warranty
Number of owners (including you)
Current years in your ownership * -- Select --Less than 11234567891010+
Is the car still driven regularly? * -- Select --YesNo
Aftermarket accessories
Factory accessories fitted
Modifications
Accident history (if known)
Current unrepaired damage
Existing insurance claim pending
Current mechanical or interior issues
Major repairs in the past 12 months
Other non-standard services completed
Parts or accessories to include in the sale
Anything else to add?
Supporting documents or photos (optional)
Account Name
BSB
Account Number
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