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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:
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 2018
3. Copy of Sales Tax License 2018
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
DEALER SALE EVERY THURSDAY AT 10:30 AM
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 _____________________________________________
ρ Sole Owner ρ Partnership ρ Incorporated
Form of Payment Preferred: ρ Cash ρ Draft ρ Company Check ρ Floor Plan
Month / year business opened ( under this dealer number): ______________________Used Cars ρ New Cars ρ
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: ρ Own ρ Rent Years in Current Residence:______________________________________________
Print Name: ______________________________________________ SS#:_____________________________________________
Res. Phone: ____________________________________ Position: ________________________
Res. Address:___________________________________________________________________
City:_______________________State:____________________Zip:_____________________
Drivers License#______________________________________________________________
Do You: ρ Own ρ 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: _____________________________________________________________________________________________
[pic]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:____________________________________________________________
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
................
................
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