Alpine Auto Auction Clare Auto Auction

Dealer Registration

Alpine Auto Auction Clare Auto Auction

5216 Old 27 N., 8920 N. Mission.,

*Gaylord, MI 49735 *Clare, MI 48617

*Phone: 989 – 966 – 2060 *Phone: 989-386-1087

*Fax: 989 – 966 – 2064 *Fax: 989-386-1096

Website: www.alpineautoauction.com

www.clareaa.com

We appreciate your interest in registering with Alpine and Clare Auto Auction. Before your request to register can be processed, the enclosed forms must be completed and returned. The term “Alpine Auto Auction of Gaylord, LLC, Clare Auto Auction, Inc.” or “Alpine Auto Auction, 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 2014

3. Copy of Sales Tax License 2014

4. 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# E-Mail Address

9. Fax the Registration Application

DEALER SALE EVERY TUESDAY AT 10:30 AM

alpineautoauction.com

DEALER SALE EVERY THURSDAY AT 10:30 AM

clareaa.com

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#:______EMAIL ADDRESS ______

r Sole Owner r Partnership r Incorporated

Form of Payment Preferred: r Cash r Draft r Company Check r Floor Plan

Month / year business opened ( under this dealer number): ______Used Cars r New Cars r

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: r Own r Rent Years in Current Residence:______

Print Name: ______SS#:______

Res. Phone: ______Position: ______

Res. Address:______

City:______State:______Zip:______

Drivers License#______

Do You: r Own r 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.#: ______

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#______

Name of Bonding / Insurance Company: ______

Policy #:______

Address: ______

City: ______State: ______

Date: ______Owner / Officer Signature:______

Alpine and 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 Alpine Auto Auction and/or 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 Alpine/Clare Auto Auction to send me information by facsimile and or email, 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

Alpine/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/Clare 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 ______

Alpine/Clare Auto Auction Additional Buyer/Seller Agent Consent

Date: ______

From: ______

______

Alpine Auto Auction

5216 Old 27 N. * Gaylord, Michigan 49735 *Phone: 989 – 966 - 2060 * Fax: 989 – 966 – 2064

Clare Auto Auction

8920 N. Mission * Clare, Michigan 48617 * Phone: 989-386-1087

I, ______Owner of______,

hereby authorize ______to act as Agent for the above named company for the sole purpose of signing the Alpine/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 ______

Alpine/Clare Auto Auction Group Title Clerk Authorization

I______of______

Who's address is

______

do hereby duly authorize Alpine Auto Auction of Gaylord, LLC, Clare Auto Auction, Inc. to be referred as Alpine Auto Auction/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 Alpine/Clare Auto Auction’s agreement to execute such documents on dealership/ financial institution's behalf, dealership/financial institution shall indemnify, defend and hold harmless Alpine/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 Alpine/Clare Auto Auction from any loss resulting from any gross negligence or willful misconduct of Alpine/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

Alpine Auto Auction Registration Package page 1 of 7

Clare Auto Auction

Revised 6/16/14