Tom Kasner Crane Sales Inc. P.O. Box 5436 Akron, Ohio 44334

Sellers Form

Print Form, complete and Fax to 330-670-0420

Crane Seller Information
Company Name: ____________________________________________________________
Your Name: ______________________________________________
Your Title: ________________________________________________
Street Address: ____________________________________________
City: ____________________State: _____________________Zip: _____________
Phone: ____________________Fax: ____________________
E-Mail Address: _________________________________
Web Site URL: _________________________________
 
Your Crane You Want To Sell.
Hydraulic TruckCrawlerAll-TerrainRough Terrain
Lattice TruckBoom TrucksCarry-DeckOther
 
Crane Specifications - Complete applicable fields
Year ________Serial # ________________Manufacturer ________________
Model ________________Capacity / Tons __________Sales Price ______________
Lower Engine Make ________________Model __________Hours ________
Upper Engine Make ________________Model __________Hours ________
Total Machine Hours ________________Total Machine Miles ________________
Transmission Make ________________Model ______________Speed __________
Drive Axles ________Steer Axles ________Total of Axles ________________
Boom Length ________Jib Length ________Luffing Jib ________________
Number of Load Drums ________Cable Size ________Condition ________________
Under Carriage % Remaining ________Pad Size ________________
Torque Converter _______________Independent Swing ________________
Independent Travel __________Power Load Lowering on how many drums ________
Front Tire Size ________________% of Remaining Tread __________
Rear Tire Size ________________% of Remaining Tread __________
Load Block ________________Ball ________Type of Controls ____________
Anti-Two Block System  Yes   No
Load Weight Monitoring Device  Yes   No
Current Mechanical Condition on a scale of 1-10: ______
Sheet Metal Condition on a scale of 1-10: ______ Paint Condition on a scale of 1-10: ______
Current Certification ________________ Any Major Rebuild Work ________________
Additional Information ________________________________________________