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Please complete the Required Fields below and then express your Narrative Inquiry Comments in the Text Box provided ... J.D.Howard will Respond to your inquiry Personally.

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* Required Fields  
* Your full name:  
* City:  
* State:  
* Zip:  
Daytime phone:
Evening phone:
* E-mail address:  
   
Subject Vehicle . . .  
* Year:  
* Make:  
* Model:  
* Miles:  
* Approximate Pre-Loss Fair Market Value: $  
* Approximate Cost to Repair All Damage: $  
* Seeking Diminished Value Recovery from:
* Was this unit Towed from Accident Scene?
* Did Police Respond to Accident Scene?
* Were the Air Bags Deployed?
Date of Loss:

* Brief Accident and Damage Description
 

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