DEALER SALE EVERY THURSDAY AT 10:30 AM clareaa.com

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1 Dealer Registration Clare Auto Auction 8920 N. Mission Clare, MI *Phone: * Fax: Website: We appreciate your interest in registering with Clare Auto Auction. Before your request to register can be processed, the enclosed forms must be completed and returned. The term Clare Auto Auction, Inc. or Clare Auto Auction refers to all of the auctions listed above. Please include the following and remember to sign your application: 1. Completed Registration Application 2. Copy of your Dealer s License Copy of Sales Tax License Copy of Company Check (voided) 5. Completed Bank Form 6. Copy of Driver s Licenses for yourself and all Authorized Agents 7. Completed Agent Authorization Form 8. Cell Phone # Pager# Address 9. Fax the Registration Application DEALER SALE EVERY THURSDAY AT 10:30 AM clareaa.com Clare Auto Auction Registration Package page 1 of 7

2 REGISTRATION APPLICATION Dealer #: Federal ID #: State Sales Tax Exemption #: Company Name: Business Address: City: State: Zip: Mailing Address (If Different): City: State: Zip: Bus. Phone: Cell Phone: Fax#: ADDRESS Sole Owner Partnership Incorporated Form of Payment Preferred: Cash Draft Company Check Floor Plan Month / year business opened ( under this dealer number): Used Cars New Cars If new cars, type of franchise: Factory Dealer Number: OWNERS OR OFFICERS Print Name: SS#: Res. Phone: Position: Res. Address: City: State: Zip: Drivers License# Do You: Own Rent Years in Current Residence: Print Name: SS#: Res. Phone: Position: Res. Address:_ City: State: Zip: Drivers License# Do You: Own Rent Years in Current Residence: ADDITIONAL AUTHORIZED EMPLOYEES (WILL BUY/SELL AT AUCTION) Name 1: D.L.#: S.S.# 1: Phone #: Name 2: D.L.#: Clare Auto Auction Registration Package page 2 of 7

3 S.S.# 2: Phone #: BANK INFORMATION Primary Bank: Bank Phone: Address: City: State: Zip: Acct #: Date Opened: Type Account: Bank Contact: Secondary Bank (If Any): Bank Phone: Address: City: State: Zip: Acct #: Date Opened: _ Type Account: AUCTION REFERENCES Auction Name: City: State: Auct. ID# Auction Name: City: State: Auct. ID# Auction Name: City: State: Auct. ID# Name of Bonding / Insurance Company: Policy #:_ Address: _ City: State: Date: Owner / Officer Signature: Clare Auto Auction Registration Package page 3 of 7

4 Clare Auto Auction Registration/ Agent Agreement Date: From: I Owner of as of the date of this letter, will be the only individual conducting business under the above dealer license. In addition, I will be the only individual signing company checks, sales, contracts, titles and any other paperwork necessary to conduct business unless stated in writing. Upon authorization to conduct business at Clare Auto Auction, applicants agree to abide by all auction policies and procedures including, but not limited to, those concerning odometer tampering, which if violated, could result in the termination of business privileges and the repurchase of any odometer tampered vehicle sold by the applicant. I have received and understand the Arbitration Rules of the auction. I authorize Clare Auto Auction to send me information by facsimile and or , such as, but not limited to upcoming sales. If I wish to no longer receive such faxes, I agree to provide the auction with such request in writing. Owner, Signature Date Clare Auto Auction Registration Package page 4 of 7

5 Clare Auto Auction Credit Information Date: Your Bank Name Street Address City, State, Zip To Whom It May Concern: I here by authorize you to release the necessary credit information to the Alpine Auto Auction to enable my company to conduct business using our business checking account. Account Number: Additional Account Numbers: Your prompt attention in answering their attached letter will be appreciated. Sincerely, Signature: Company Name Print Name: Street Address: City, State, Zip Clare Auto Auction Registration Package page 5 of 7

6 Clare Auto Auction Additional Buyer/Seller Agent Consent Date: From: Clare Auto Auction 8920 N. Mission Clare, Michigan *Phone: * Fax: I, Owner of, hereby authorize to act as Agent for the above named company for the sole purpose of signing the Clare Auto Auction Contracts and signing as Seller and Buyer on Titles. Owner, Signature AGENT INFORMATION: Name Address City State Zip Phone Cell _ D.L.# Agent Signature Clare Auto Auction Registration Package page 6 of 7

7 Clare Auto Auction Group Title Clerk Authorization I of Whose address is do hereby duly authorize Clare Auto Auction, Inc. to be referred as Clare Auto Auction and all of it s affiliates and its employees to act as our agent to sign all papers and documents pertaining to the sale and subsequent title transfer of the vehicles owned by said dealership/financial institution. Documentation is to include but is not limited to title, title transfer documentation, reassignment, certification, odometer disclosure statements and any other documentation required by federal or state law needed to complete the sale of vehicles. In consideration of Clare Auto Auction s agreement to execute such documents on dealership/ financial institution's behalf, dealership/financial institution shall indemnify, defend and hold harmless Clare Auto Auction and it's affiliates, subsidiaries, officers, directors, employees, successors and assigns from and against any and all loss, damages, liability, claims, causes of action and expenses of whatever kind and nature arising from the execution, transfer of ownership of any vehicle. Notwithstanding the foregoing contained herein shall be construed to require dealership/financial institution to indemnify Clare Auto Auction from any loss resulting from any gross negligence or willful misconduct of Clare Auto Auction or its employees or agents. Dealership/financial institution further agrees to guarantee and save the authorities of any state agency/representative requested to process such transfer of title, from all responsibility with respect to this title clerk authorization. Signature Date Clare Auto Auction Registration Package page 7 of 7

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