APPRAISAL REPORT
IDENTIFICATION VEHICLE
Driver name:
HM Tongeren
Make:
MERCEDES
Model / version:
CLASS A (W177)
Vin:
W1K1770861V115007
Plate:
2BLZ284
Mileage:
130041
First registration:
10/01/2022
Color:
ADDITIONAL INFORMATION
Category:
Transmission:
Interior color:
Metallic paint:
Type of lining:
Board computer reset:
DOCUMENTS
Certificate of conformity:
Registration certificate:
Registration certificate 2:
Insurance certificate:
Maintenance book:
Number of keys:
2
Original key:
PICTURES
VIN INFORMATION
EQUIPMENT
Board computer:
Central locking:
Compressor:
Cruise control:
Gps:
Power steering:
Rear parking sensor:
Repair kit:
Front seats heated:
Steering wheel:
Electric windows:
Climate control type:
Headlighting type:
Tow bar type:
Charging cables:
Fast charging cables:
1
TIRES
| Position | Depth | Brand | Dimensions | Type | Rims | Runflat |
|---|---|---|---|---|---|---|
| Front left | 5 mm | Winter | Aluminium | |||
| Front right | 5 mm | Winter | Aluminium | |||
| Rear left | 5 mm | Winter | Aluminium | |||
| Rear right | 5 mm | Winter | Aluminium |
DAMAGES SUMMARY
NOT ACCEPTABLE / TO BE INVOICED
| # | Location | Damage type |
|---|---|---|
| 2 | Tailgate / Boot | Dent(s) and scratch(es) |
| 3 | Bumper R | Damaged |
| 4 | Windscreen | Stone chip(s) |
| 5 | Door FR | Dent(s) and scratch(es) |
| 6 | Alloy rim FR | Scratch(es) |
| Total: 5 |
ACCEPTABLE / NOT TO BE INVOICED
| # | Location | Damage type | Renta® | Repaired | Already invoiced |
|---|---|---|---|---|---|
| 1 | Bodywork | Dent(s) and scratch(es) |
| Total: 1 |
DAMAGES DETAILS
2
- Tailgate / Boot
- Dent(s) and scratch(es)
3
- Bumper R
- Damaged
4
- Windscreen
- Stone chip(s)
5
- Door FR
- Dent(s) and scratch(es)
6
- Alloy rim FR
- Scratch(es)
1
- Bodywork
- Dent(s) and scratch(es)
- Renta®
SIGNATURE
Expert
17/02/2026 09:54
