CONSIGNMENT FORM - Consign Vehicles
CONSIGNMENT FORM
*Please remove plates. Any plates left with vehicle will be destroyed. IAA cannot guarantee vehicle will not be forked*
DEALER/SELLER NAME
CUSTOMER INFORMATION
ASSIGNING REP
ADDRESS
CITY/STATE/ZIP
PHONE 1
PHONE 2
EMAIL ADDRESS
FEDERAL TAX ID
VEHICLE INFORMATION
YEAR
MAKE
MODEL
COLOR
VIN
MILEAGE ______________
ACTUAL
EXCEEDS
NOT ACTUAL INOPERABLE DIGITAL DASH
OTHER _________________
STATE ___________
CLEAR
REBUILT
SALVAGE FLOOD
OTHER _______________
KEYS
RUN & DRIVE
STATIONARY START
STARTS WITH JUMP
WON'T START
PLEASE INCLUDE THESE SERVICES: CRASH WRAP ($25) VACUUM ($25) WASH & VAC. ($75) DETAIL ($125)
VEHICLE DAMAGE CODE INFORMATION (Seen, Unseen or Repaired: check all that apply)
ALL OVER
BOTH SIDES
ELECTRICAL
ENGINE BURN ENGINE
EXTERIOR BURN
DAMAGE
FLOOD
FRAME
FRESH WATER FRONT END
FRONT & REAR HAIL
INTERIOR
LEFT FRONT
LEFT & RIGHT LEFT REAR
LEFT SIDE
MECHANICAL
SIDE
REAR
REPOSSESSION RIGHT FRONT RIGHT REAR
RIGHT SIDE
ROLL OVER
ROOF
SALT WATER
STORM
STRIPPED
SUSPENSION
THEFT
DAMAGE
TOTAL BURN
TRANSMISSION UNDER-
UNKNOWN
VANDALIZED
OTHER _______
CARRIAGE
MISSING PARTS ______________________________________________________________________________________
VEHICLE AIRBAG STATUS
DRIVER
PASSENGER
DRIVER SIDE
PASSENGER SIDE
OTHER ___________
INTACT
INTACT
INTACT
INTACT
INTACT
DEPLOYED
DEPLOYED
DEPLOYED
DEPLOYED
DEPLOYED
MISSING
MISSING
MISSING
MISSING
MISSING
All bids are finalized by 12 noon the day after the sale. It is YOUR responsibility to contact our office to finalize the sale before
that time. After that time, IAA cannot guarantee the sale of the vehicle even if the bid has been approved.
MINIMUM BID
SALE PROCEEDS
MAIL CHECK
FOR TERMS AND CONDITIONS, SEE REVERSE SIDE.
I confirm that I have thoroughly read and agree to be bound by the IAA Vehicle
Consignment Form's Terms and Conditions, which are incorporated into this
agreement. The IAA Vehicle Consignment Form's Terms and Conditions can be found
on the back of this form, in any US located IAA branch or on our website at
.
PICK-UP CHECK FROM BRANCH **INTERNAL USE ONLY**
STOCK # ______________________
SALE DATE ____________________
OLD STOCK # __________________
_________________________ ___ SELLER SIGNATURE / DATE
______________________________ COMPANY NAME / TITLE
BUYER # ______________________ SALVAGE PROVIDER # ___________
1 INSURANCE AUTO AUCTIONS |Two Westbrook Corporate Center, Suite 500 | Westchester, IL 60154 |T 800.821.4596
CONSIGNMENT FORM
*Please remove plates. Any plates left with vehicle will be destroyed. IAA cannot guarantee vehicle will not be forked*
IAA VEHICLE CONSIGNMENT AGREEMENT TERMS AND CONDITIONS
1. Seller appoints IAA as its Agent to sell the vehicle and authorizes the sale of the subject vehicle.
2. Seller shall pay all fees, whether the vehicle sells or not, and agrees to pay any cost of collection (including collection agency fees and/or court costs and attorney's fees) in the event of Seller's failure to pay all fees.
3. IAA shall re-run the vehicle for an additional sale fee unless Seller approves the vehicle for sale or informs IAA not to re-run the vehicle and removes the vehicle from IAA's premises by 2:00 PM on the day after the date of sale.
4. Seller shall not bid on the subject vehicle if prohibited by applicable law.
5. IAA shall remit vehicle sale proceeds to Seller, minus applicable Seller fees, no sooner than seven business days and no later than twenty-one business days from the date IAA receives payment from the purchaser.
6. Seller represents and warrants that Seller is the sole registered and legal owner of this vehicle, and title to the vehicle is valid, transferable and unencumbered.
7. Seller represents and warrants that all vehicle information provided is complete and accurate.
8. Seller shall maintain insurance on the subject vehicle and waives any claims against IAA for damage that occurs to the subject vehicle while being held for sale, including damage due to vandalism, theft, flood, fire or any act of God.
9. Seller represents that all component parts are original, except as noted below, and that the vehicle contains no stolen parts.
10. Seller shall indemnify, defend, and hold IAA harmless from and against any claims, demands, lawsuits, or liabilities (including freight, attorney's fees and defense costs) arising from or related to the sale of this vehicle, from the condition, title, mileage, or history of the vehicle or any component part of the vehicle, or any misrepresentation, concealment or omission of facts by Seller.
11. Seller represents that no vehicle identification numbers have been tampered with, replaced, or altered on the subject vehicle.
12. Written authorization of the parties shall be required to vary the terms hereof.
13. IAA shall not be liable to Seller for consequential, special, incidental, indirect, punitive, exemplary, or other damages of any kind (including lost revenues or profits, loss of business or loss of data) even if IAA is advised beforehand of the possibility of such damages. Seller agrees that the liability of IAA and its subsidiaries, officers, agents, employees, and affiliates arising from or related to this agreement shall not exceed the fee Seller paid to IAA to consign this vehicle for sale.
14. Any dispute arising out of this agreement shall be litigated in the state/province and county and applying the laws of the state/province of the IAA facility that stored the vehicle at the time of sale.
15. If any term or provision of this agreement is determined by a court of competent jurisdiction to be invalid or unenforceable, the remainder of this agreement shall not be affected thereby, and each term and provision of this agreement shall be valid and enforceable to the fullest extent permitted by law.
I confirm that I have thoroughly read and agree to be bound by the IAA Vehicle Consignment Form's Terms and Conditions which are incorporated into this agreement. The IAA Vehicle Consignment Form's Terms and Conditions can be also be found at any US located IAA branch or on our website at .
________________ SELLER INITIALS / DATE
2 INSURANCE AUTO AUCTIONS |Two Westbrook Corporate Center, Suite 500 | Westchester, IL 60154 |T 800.821.4596
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related download
- consignment form consign vehicles
- 2 steps to releasing your cosigner
- cosigner agreement
- scra questions and answers justice
- obligations when signing or cosigning a loan
- co signer agreement guaranty agreement
- penndot fact sheet vehicle transfer after death of owner
- lesson six cars and loans practical money skills
- lesson nine cars and loans practical money skills
- cars and loans incharge debt solutions
Related searches
- best investment vehicles for retirees
- cash vehicles for sale
- top 10 vehicles to buy
- 10 best vehicles to purchase
- 10 worst vehicles to buy
- buy vehicles local
- best selling used vehicles 2018
- consignment shops that buy clothes near me
- consignment shops that pay cash for clothes
- consignment shops that buy clothes
- consignment art galleries kansas city
- ebay consignment sellers