Bloomsburg Auto Auction Inc

Dealer Application

Bloomsburg Auto Auction Inc.

25 Ridge Rd

Bloomsburg, PA 17815

(Hereafter Auction)

Name of Dealer ______(Hereafter Dealer) Telephone ______

(Legal Name if Different) ______Fax # ______

Address______City______State____Zip______

Email Address ______

Business Information

Is the DealerFederal Tax

An Individual ☐ Partnership ☐ Corporation ☐ ID# ______DIN # ______

I Desire to Pay With Cash ☐ Check ☐ Both ☐ Floor Plan ______

List of Owners and Officers

Name______Title______S.S.#______

Home Address______Home Tele#______U.S. Citizen?______

Name______Title______S.S.#______

Home Address______Home Tele#______U.S. Citizen?______

Name______Title______S.S.#______

Home Address______Home Tele#______U.S. Citizen?______

Credit Information

Bank ______Address ______

Name of Official______Account #______Credit or FP Limit $______

How Long Doing Business ______

References

Other Auction You Attend ______How Long Registered ______

Other Auction You Attend______How Long Registered ______

Dealer or Other Business Reference______How Long Acquainted______

Authorized Representatives

Name ______Signature______D.O.B. ______

Driver’s lic # ______Salesman’s lic #______Home Tele #______

Owner / Officer Signature______Date ______

Name ______Signature______D.O.B. ______

Driver’s lic # ______Salesman’s lic #______Home Tele #______

Owner / Officer Signature______Date ______

Name ______Signature______D.O.B. ______

Driver’s lic # ______Salesman’s lic #______Home Tele #______

Owner / Officer Signature______Date ______

Auction Rules

I have received a copy of the auction Rules and Policies from Bloomsburg Auto Auction Inc. and do agree to abide by same.

Guaranty

In consideration of Auction allowing Dealer to buy and sell motor vehicles through auction, the undersigned, whether one or more, personally covenant, guarantee and warrant that the title to each vehicle sold by Dealer through Auction will be good and will be free and clear of all liens and encumbrances, whatsoever. The undersigned unconditionally agrees to reimburse Auction for any loss, damage, expense, or costs, including attorney’s fees, incurred by auction as a result of breach of the foregoing warranty of title as to any such motor vehicle.

The undersigned further guarantees full payment of any debts of Dealer to Auction, including any checks or drafts issued by Dealer or any of Dealer’s representatives, together with any loss or expense incurred by Auction in collecting or attempting to collect such debt, including attorney’s fees.

The undersigned further guarantees the Odometer mileage Statement given by or on behalf of the Dealer in all sales of motor vehicles by it through Auction, and agrees to reimburse, indemnify and hold harmless the Auction from all losses, damages and expense caused it by such Odometer Mileage Statement which proves to be false or inaccurate, including payments made by the Auction under any Odometer Statement Guaranty issued by it in connection with any such sale, any settlement amounts paid in connection with such claim, any amounts paid in damages including punitive damages, as well as any expense or cost incurred by Auction in collection ro attempting to collect such losses, including attorney’s fees.

The undersigned acknowledges that Auction shall have the right to refuse to transact business with Dealer, to modify or release any and all collateral security, to extend or change time of payment and to settle or compromise with Dealer without notice to the undersigned and without discharging or affecting the liability of the undersigned hereunder. This guaranty is to be a continuing guaranty and the undersigned hereby waives notice of acceptance of this guaranty and presentment, demand,protest, and any notice of non-payment or dishonor. The undersignedshall be liable as principal debtor and not merely as surety and the bankruptcy or any assignment in favor of Creditor of Dealer shall not affect the enforceability of this agreement.

This instrument shall bind the respective heirs, executors, administrators, and assigns of the undersigned, and shall inure to the benefit of Auction, its successors, assigns, and subrogees.

Where there is more than on signatory to this agreement each signatory shall be jointly and severally liable under this agreement.

IN WITNESS WHEREOF the undersigned have hereunto set their hands and seals this ___ Day of ______, 20___

______WITNESS (X)______

Also Include copies of:

Dealer Lot License ____

Salesman license ____ For Each Authorized Representative

Drivers license ______For Each Authorized Representative

Voided Check ______

Sales Tax Exemption Form ____

Bank Authorization ____

Insurance Card____

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