WELCOME TO BRASHER S IDAHO AUTO AUCTION!

Transcription

1 WELCOME TO BRASHER S IDAHO AUTO AUCTION! Attached is a Dealer Registration Packet. (If you are currently registered with Auction Access, it is not necessary to complete this entire packet. Please call the number for Dealer Registration listed below). PLEASE READ ALL INSTRUCTIONS AND SUBMIT THE ENTIRE PACKET. Along with your packet, the following information is needed to register your dealership. Current Dealership License Current Dealership Bond Sales Tax certificate Once you submit your information, please stop in to have each rep get their picture taken. This will be used for your auction access membership card (Please note: this membership is free of charge but is required to keep your dealership active). Please mail or fax your completed Registration Package and copies of the above documentation to the following: Brasher s Idaho Auto Auction Attn: Dealer Registration 7355 S. Eisenman Rd Boise, ID Fax: Please call or with any questions. Sincerely, Merielle Johnson Dealer Registration/Arbitration Admin Asst Brasher's Idaho Auto Auction

2 PLEASE FILL OUT THE FOLLOWING INFORMATION: Dealership Name: How would you like us to handle your titles? REGULAR MAIL CERTIFIED MAIL-BILL ME (CERTIFIED FEE + REGULAR POSTAGE) FEDEX USE MY ACCOUNT (PLEASE PROVIDE ACCOUNT NUMBER) BILL MY AR ACCOUNT HOLD TITLES FOR PICKUP OTHER: How would you like us to handle your checks? REGULAR MAIL CERTIFIED MAIL-BILL ME (CERTIFIED FEE + REGULAR POSTAGE) FEDEX USE MY ACCOUNT (PLEASE PROVIDE ACCOUNT NUMBER) BILL MY AR ACCOUNT HOLD TITLES FOR PICKUP OTHER: Printed Name: Signature:

3 Registration Application Dealership Information Dealership AuctionACCESS ID: Trade or DBA Name: Legal Name (if different): Date Business Started: Federal ID: RIN (Canadian Province of Ontario only): (US-EIN, MX-RFC, CA-GST/BIN, International-Owners Passport) Check only one Company Type: Sole Proprietorship General Partnership Limited Partnership Business Corporation Limited Liability Company Unlimited Liability Corporation Business Types Check all that apply New Used Lease Wholesale Parts Salvage Export Rental Automobile Motorcycle Moped RV Mobile Home Trailer (Pull Behind) Motorcycle (Off Road) ATV Snowmobile Heavy Equipment Boat Personal Watercraft Airplane Unknown Contact Information Lot Address: City: Colony (if applicable): St/Prov (if applicable): Postal Code: Country: Mailing Address: City: Colony (if applicable): St/Prov (if applicable): Postal Code: Country: Bus. Phone Number: Address: Bus. Fax Number: Website Address: Form No. 101 (Rev. 8/01/2013) Page 1 of 2 Copyright AutoTec, LLC. All rights reserved.

4 Agreement Dealership AuctionACCESS ID: You, the undersigned entity and individuals hereby authorize AutoTec, LLC, its affiliate Auction Insurance Agency("AIA"), and those customers that subscribe to AutoTec s AuctionACCESS system (including Manheim, Inc. and its affiliates, ADESA, Inc. and its affiliates, and all other subscribing auctions, collectively, "Customers") to provide, obtain, store, use and share amongst themselves, and externally, as each sees fit, the information contained on this application, on any other forms provided to AutoTec and other information regarding you and/or your dealings with each, including transaction, bank, credit information, and consumer reports. You acknowledge that AutoTec provides such information to Customers without verifying the same, on an as is basis, expressly disclaiming any express or implied warranties regarding such information. Customers are not limited to businesses in the automobile auction or dealer industries, but may also include other businesses providing goods or services to such industries. By signing below, you (1) agree to the terms of this application, any exhibits hereto, and AutoTec's Terms and Conditions as they may be amended from time to time and posted on (2) warrants that you are solvent, properly registered to do business and licensed as a dealer (if applicable), and that the information provided herein is complete, accurate, and truthful, (3) acknowledges that registration in the AuctionACCESS System is no guarantee of purchasing privileges or credit with any Customer, which each retain the discretion to deal with you as they see fit, (4) agrees to be bound by the policies and procedures of each Customer at which you register or transact with your AuctionACCESS credentials, (5) agree that AutoTec, AIA, and each Customer, on their own behalf or on behalf of their respective customers and business partners may contact you for any commercial or advertising purpose using the telephone numbers (whether business, home, or mobile numbers), fax numbers, addresses, and/or other contact information provided on this form, or otherwise used in connection with your business, and (6) agree to disclose AuctionACCESS numbers only to AutoTec Customers. You agree that these terms and any other commitments or account forms submitted to AutoTec, its affiliates, and any Customers, by you or any authorized Individual, shall have the same force and effect as though personally signed by each of you and may be enforced as originals, even if they were accepted online, by , via "click-through" agreement, or in other digital, pdf, or facsimile format. Signature Legal Name of Entity (Corp/LLC/LLP/ULC/Partnership/Individual) Trade or DBA Name of Entity By: Its: Printed Name of Authorized Signer (Owner/Officer/Manager) Title of Authorized Signer (Owner/Officer/Manager) Signature of Authorized Signer (Owner/Officer/Manager) Date of Signature Owners Owner Name Owners AA ID Owner Name Owners AA ID References Auction Name Phone Number Franchise Information Franchise Name Franchise Number Franchise Name Franchise Number Form No. 101 (Rev. 8/01/2013) Page 2 of 2 Copyright AutoTec, LLC. All rights reserved.

5 Form W-9 (Rev. August 2013) Department of the Treasury Internal Revenue Service Name (as shown on your income tax return) Request for Taxpayer Identification Number and Certification Give Form to the requester. Do not send to the IRS. Business name/disregarded entity name, if different from above Print or type See Specific Instructions on page 2. Check appropriate box for federal tax classification: Individual/sole proprietor C Corporation S Corporation Partnership Trust/estate Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=partnership) Other (see instructions) Address (number, street, and apt. or suite no.) City, state, and ZIP code Exemptions (see instructions): Exempt payee code (if any) Exemption from FATCA reporting code (if any) Requester s name and address (optional) List account number(s) here (optional) Part I Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on the Name line to avoid backup withholding. For individuals, this is your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN on page 3. Note. If the account is in more than one name, see the chart on page 4 for guidelines on whose number to enter. Social security number Employer identification number Part II Certification Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and 2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, and 3. I am a U.S. citizen or other U.S. person (defined below), and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions on page 3. Sign Here Signature of U.S. person Date General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. The IRS has created a page on IRS.gov for information about Form W-9, at Information about any future developments affecting Form W-9 (such as legislation enacted after we release it) will be posted on that page. Purpose of Form A person who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) to report, for example, income paid to you, payments made to you in settlement of payment card and third party network transactions, real estate transactions, mortgage interest you paid, acquisition or abandonment of secured property, cancellation of debt, or contributions you made to an IRA. Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN to the person requesting it (the requester) and, when applicable, to: 1. Certify that the TIN you are giving is correct (or you are waiting for a number to be issued), 2. Certify that you are not subject to backup withholding, or 3. Claim exemption from backup withholding if you are a U.S. exempt payee. If applicable, you are also certifying that as a U.S. person, your allocable share of any partnership income from a U.S. trade or business is not subject to the withholding tax on foreign partners share of effectively connected income, and 4. Certify that FATCA code(s) entered on this form (if any) indicating that you are exempt from the FATCA reporting, is correct. Note. If you are a U.S. person and a requester gives you a form other than Form W-9 to request your TIN, you must use the requester s form if it is substantially similar to this Form W-9. Definition of a U.S. person. For federal tax purposes, you are considered a U.S. person if you are: An individual who is a U.S. citizen or U.S. resident alien, A partnership, corporation, company, or association created or organized in the United States or under the laws of the United States, An estate (other than a foreign estate), or A domestic trust (as defined in Regulations section ). Special rules for partnerships. Partnerships that conduct a trade or business in the United States are generally required to pay a withholding tax under section 1446 on any foreign partners share of effectively connected taxable income from such business. Further, in certain cases where a Form W-9 has not been received, the rules under section 1446 require a partnership to presume that a partner is a foreign person, and pay the section 1446 withholding tax. Therefore, if you are a U.S. person that is a partner in a partnership conducting a trade or business in the United States, provide Form W-9 to the partnership to establish your U.S. status and avoid section 1446 withholding on your share of partnership income. Cat. No X Form W-9 (Rev )

6 ST-101 EFO Seller's Name Idaho State Tax Commission SALES TAX RESALE OR EXEMPTION CERTIFICATE Buyer's Name Address Address City State Zip Code City State Zip Code 1. Buying for Resale. I will sell, rent, or lease the goods I am buying in the regular course of my business. a. Primary nature of business Describe the products you sell, lease, or rent b. Check the block that applies: Idaho registered retailer. Seller's permit number Wholesale only, no retail sales (required - see instructions) Out-of-state retailer, no Idaho business presence 2. Producer Exemptions (see instructions). I will put the goods purchased to an exempt use in the business indicated below. Check all that apply and complete the required information. Logging Exemption Broadcasting Exemption Publishing Free Newspapers Production Exemption (check all that apply): Farming Ranching Manufacturing Processing Fabricating Mining List the products you produce: 3. Exempt Buyer. All purchases are exempt, and no permit number is required. Check the block that applies. Advocates for Survivors of Domestic Violence and Sexual Assault, Inc. American Indian Tribe American Red Cross Amtrak Blind Services Foundation, Inc. 4. Contractor Exemptions (see instructions). Center for Independent Living Emergency Medical Service Agency Federal/Idaho Government Entity Forest Protective Association Idaho Foodbank Warehouse, Inc. Dental Service Clinic Qualifying Health Organization (see instructions for list) Senior Citizen Center State/Federal Credit Union Volunteer Fire Department a. Invoice, purchase order, or job number to which this claim applies b. City and state where job is located c. Project owner name d. This exempt project is: (check appropriate box) In a nontaxing state. (To qualify, materials must become part of the real property.) An agricultural irrigation project. 5. Other Exempt Goods and Buyers (see instructions). Aircraft used to transport passengers or freight for hire Aircraft purchased by nonresident for out-of-state use American Indian buyer holding Tribal I.D. No.. This form doesn't apply to vehicles or boats. See instructions. Church buying goods for food bank or to sell meals to members Food bank or soup kitchen buying food or food service goods Glider kits for IRP-registered vehicles Heating fuel Livestock sold at a public livestock market Medical items that qualify Pollution control items Research and development goods Snowmaking/grooming equipment, or aerial tramway component Other goods or entity exempt by law under the following statute (required: ) Buyer: Read and sign. I certify that all statements I have made on this form are true and correct to the best of my knowledge. I understand that. Other penalties may also apply. Buyer's Signature Buyer's Name (please print) Title Buyer's Federal EIN or Driver's License No. and State of Issue Date Seller: Each exemption a customer may claim on this form has special rules (see instructions). It's your responsibility to learn the rules. You must charge tax to any customers and on any goods that don't qualify for a claimed exemption and are taxable by law. This form may be reproduced. This form is valid only if all information is complete. The seller must keep this form.

7 AA subscribing Customer: Address: City: Bank Reference Letter St/Prov: Phone: Fax: Postal Code: AuctionACCESS Dealership ID: Dealership Name: Owner/Officer Name: Bank Name: Account #: Bank Address: Routing #: Bank City: State/Province: Country: Bank Reference Phone: Bank Reference Fax: Attention Credit Department or Officer: Postal Code: The aforementioned Dealership has listed your bank as its principal banking reference. AutoTec, LLC has compiled and maintains a national database, AuctionACCESS, which contains information on licensed new and used car dealers for use by its automobile industry customers. Since those customer often accept and advance funds on dealership checks for transactions they facilitate, they require customers, such as Dealership, to establish their financial responsibility. We would be grateful if you would check mark below your estimate of this account. This information will be incorporated into the AuctionACCESS database and otherwise used only as agreed by Dealership. Please return this completed letter directly to the above address. Thank you for your assistance. Dealership has been banking with your bank since: Checking Savings Floor Plan ZBA Sweep Controlled Disbursement Type(s) of accounts held: Regular Account Account is: Satisfactory Open Date: Special Account Unsatisfactory The Customer is: Loan Account Closed Closed Date: A valued customer with a good reputation and financial responsibility. Honest and reliable, but limited capital resources. Unknown to us. A new customer our experience is limited. Negative response Average Balances for six months are: Negative Balance Nominal Figures Insufficient Checks or Drafts: How Many? Does not issue Small Moderate Medium Figures Figures Figures Overdrafts: How Many? Does not issue Large Figures Maximum Credit recently extended: $ Secured $ Unsecured $ Do you floor plan this Customer? Yes No Floor Plan Line New/Used: $ Floor Plan Outstanding New/Used: $ Do you accept their Drafts? Yes No Are all Drafts picked up within 48 hours? Yes No Physical Address of bank for sight Draft: Remarks: Signature of Bank Official Print Name: Title: Date: Phone: BRL Form (Rev. 08/01/2013) Copyright AutoTec, LLC. All rights reserved.

8 POWER OF ATTORNEY ( Client ) hereby appoints and constitutes BRASHER S IDAHO AUTO AUCTION and its designees to execute on behalf of Client certificates of title and/or registration of such Vehicles; odometer disclosure statements and such other documents as deemed necessary to convey to purchasers at auction good title to vehicles consigned by the undersigned to BRASHER S IDAHO AUTO AUCTION to be sold at auction. With reference to the odometer disclosure statement, unless otherwise instructed by Client, in executing the odometer disclosure statement on behalf of client, BRASHER S IDAHO AUTO AUCTION and/or its designees are directed to enter the mileage reading on the dashboard of each Vehicles as the true and correct of such Vehicle. Unless it states otherwise in writing, Client represents that such mileage readings are true and Client will indemnify and hold harmless BRASHER S IDAHO AUCTO AUCTION and its designees acting pursuant to this power of attorney, against any and all costs, claims, Or action whatsoever, including reasonable attorney s fees, based upon or resulting from inaccuracy of the odometer reading on any vehicles or any odometer statement prepared on connection with the sale or auction of any vehicle unless such inaccuracy Is caused by BRASHER S IDAHO AUTO AUCTION or any of its designees. Client Printed Name: Client Signature: State of: County of: Subscribed and sworn to before me this day of, 20 My commission Expires

9 Brasher s IDAHO Salt Lake - Ph Fax Sacramento - Ph Fax Northwest - Ph Fax Cascade - Ph Fax Reno - Ph Fax Idaho- Ph Fax GUARANTY, AGREEMENT & AUTHORIZATION In consideration of Brasher s Auction Group allowing ( Dealer ) to Legal Name of Dealership buy and sell motor vehicles through Brasher's Auction Group, the undersigned, whether one or more, personally represent, warra and unconditionally guarantee that the title to each vehicle sold by Dealer through Brasher's Auction Group will be good and will nt, be free and clear of all liens and encumbrances whatsoever. The undersigned unconditionally agrees to indemnify, hold harmless, an reimburse Brasher's Auction Group for any loss, damage, expense, and costs, including attorney s fees, incurred by Brasher's Auction d Group by any breach whatsoever of the foregoing warranty of title as to any such motor vehicle.the undersigned further guarante full payment of any debts of Dealer to Brasher's Auction Group, including any drafts issued by Dealer or any of Dealer s agents es together with any loss or expense incurred by Brasher's Auction Group in collecting or attempting to collect such debt, includi, attorney s fees. The undersigned acknowledges and agrees that Brasher's Auction Group shall have the right to refuse to transac ng business with Dealer, to modify or release any and all collateral security, to extend or change time of payment and to settle o t compromise with Dealer without notice to the undersigned and without discharging or affecting the liability of the undersigned hereunder. r This guaranty is to be a continuing, non-terminable, irrevocable 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 undersigned shall be liable as principal debtor and not merely as surety, and the bankruptcy or any assignment in favor of Creditors of Dealer shall not affect the enforceability of this agreement. Dealer grants Brasher s Auction Group a security interest in its inventory and assets, and authorizes them to file a UCC-1 financing statement and any and all other filings necessary to perfect Brasher s Auction Group s security interests with Dealer. By signing below, Dealer further represents and warrants that the above information in this dealership registration form, is true and accurate and that all copies of bond(s), license(s), and any other information heretofore provided and that may be provided in the future to Brasher's Auction Group by Dealer or any of its authorized agents or representatives is and will be true and accurate. In the event any such information is false or inaccurate, Brasher's Auction Group, individually or collectively, and within their sole discretion, may terminate any and all agreements with Dealer. In the event there is any transfer, assignment, or change in the indiviuals and/or entities having an ownership interest in Dealer, Dealer agrees to immediately notify Brasher s Auction Group in writing of such changes. The undersigned further acknowledges and agrees that any and all information submitted by Dealer to any one affiliate of Brasher s Auction Group may be freely shared with any one or more of the other affiliates of Brasher s Auction Group. Dealer authorizes Brasher s Auction Group to send Dealer promotional information from time to time via but not limited to facsimile, , direct mail, and telephone. The undersigned understands and agrees that the liability of Dealer to the terms and conditions set forth herein, shall inure to the benefit of each and every affiliate of Brasher s Auction Group with whom Dealer transacts any business hereunder, but that the liability of Brasher s Auction Group to Dealer shall be specifically restricted and limited to the individual affiliate of Brasher s Auction Group involved in each transaction. Dealer certifies that Dealer holds valid seller s permit, as listed above, issued pursuant to the sales and tax law of the state where Dealer transacts business. Dealer certifies to be engaged in the business of selling vehicles (whether motorized, RV, trailers, motorcycles, watercraft, and/or other goods of similar kind) and that the tangible personal property described herein which Dealer shall purchase at Brasher s Auctions will be resold by Dealer in the form of tangible personal property; provided however, that in the event any of such property is used for any purpose other than retention, demonstration, or display while holding it for sale in the regular course of business, it is understood that Dealer is required by state sales and use tax laws to report and pay tax, measured by the purchase price of such property or other authorized amount. This instrument shall bind the respective heirs, executors, administrators and assigns of the undersigned, and shall inure to the benefit of Brasher's Auction Group, its successors, assigns and subrogees. Where there is more than one signatory to this agreement each signatory shall be jointly and severally liable under this agreement. Name: Printed Signature: Personally Dated this day of, 20 For: Legal name of dealership By: Authorized Signature Its: Title of Authorized Signer As used herein, as well as in any other documents pertaining to Dealer s transactions with Brasher s Auction Group, the term Brasher s Auction Group shall be defined as Brasher s Auto Auctions, a Utah Corporation d/b/a Brasher s Salt Lake Auto Auction, Brasher s Sacramento Auto Auction, Inc., a California Corporation, Brasher s Northwest Auto Auction, Inc., an Oregon Corporation, Brasher s Cascade Auto Auction, Inc., an Oregon Corporation, Brasher s Reno Auto Auction, LLC, a Utah Limited Liability Company, Brasher s Idaho Auto Auction, Inc., a Idaho Corporation and any other affiliate now in existence or later acquired. Any UCC-1 financing statement filed by Brasher s Auction Group shall have the following, or substantially similar, description of collateral: All vehicle inventory, parts and accessories inventory, equipment, fixtures, accounts, holdback reserves, manufacturer rebates and incentive payments, accounts, payment intangibles, instruments, securities and security accounts, and general intangibles of the Debtor now owned and hereafter acquired, wherever located; all accessions to, substitutions for and all replacements of any of the foregoing; all chattel paper, documents, instruments, monies, residues and property of any kind related to any of the foregoing; all books and records of Debtor related to any of the foregoing, including without limitation, computer programs, print-outs, and other computer hardware and software materials and records pertaining to any of the foregoing; together with all proceeds and products of the foregoing, including, without limitation, proceeds of insurance policies insuring any of the foregoing ("Collateral").

10 Attached are two forms required for each individual (including the owner) that is authorized to buy under your dealership. DEALER AUTHORIZATION FORM The purpose of this form is for the dealership to authorize each rep/individual to buy for the dealership. All reps and owners must have this form signed. INDIVIDUAL AUTHORIZATION FORM The purpose of this form is for each individual to provide their personal information. All fields must be complete including the Government personal ID which is also known as your Social Security number. Please submit the following copied documents for each individual added. Individual s salesperson license Individual s drivers license Each individual will need to see dealer registration at one of the auctions to take their auction access picture and order an auction access card. This card will be used to check in to each auction and is free of charge. Please mail or fax all documents along with your completed Registration Package. Brasher s Idaho Auto Auction Attn: Dealer Registration 7355 S. Eisenman Rd Boise, ID Fax: Please call or with any questions.

11 Dealership Authorization of an Individual Dealership Name: Dealership AuctionACCESS ID: Printed Legal Name of Individual Individual's AuctionACCESS ID Date of Birth Add or Change Roles By signing or clicking approval below, the dealership referenced above ("you, your, or yours ) authorizes AutoTec, LLC ( we, us, or our ) to register the individual listed above ("Individual") to serve as your representative and agent in the following capacity: The role designated below will be the only role in effect for this Individual for this Dealership, replacing any previous role authorization (check one). Representative Owner Officer/Manager Driver Subject to our acceptance of this authorization, you acknowledge the following: (i) the capacities in which the Individual is authorized as your agent apply at and with us and our subscribing AuctionACCESS customers ( Customers ), including affiliates; (ii) the authorization will be valid until one business day after we receive and process your written notice of termination in the form of a Dealer Removal Letter; and (iii) once processed, the most recent authorization received and accepted by us will replace any prior authorization(s) for the Individual for transactions thereafter. If you designate the Individual in the capacity of Representative, Owner, or Officer/Manager in this form, the Individual may buy and sell automobiles for you and execute company checks, drafts, certificates of title, and/or any other instruments or documents on your behalf at or with any Customer. All categories, including "Drivers," may pick up, receive, and/or deliver cars or other property on or for your account. You guarantee performance of all obligations and payment of all debts incurred or authorized by this Individual on your account with us or any Customer. This guaranty includes but is not limited to payment of losses from dishonored checks or drafts, defective titles, or false or inaccurate Odometer Mileage Statements. You also guarantee that the Individual will honor the AutoTec Terms and Conditions (as they may be amended from time to time and posted on business with us and our Customers in a fair and ethical manner, honoring all policies and procedures of each and respecting decisions of ours or our Customers with respect to same. You will indemnify and hold harmless Customers, AutoTec, LLC, each s affiliates, and the officers, directors, employees, and agents of each of the foregoing, against any liability, loss, damages (including punitive damages), claim, settlement payment, cost, expense, award, judgment, fee, or other charge, including reasonable attorneys fees, arising out of or relating to the authorized Individual s actions, as well as any expense incurred in attempting to collect such losses, including attorney fees. Our Customers are third-party beneficiaries of this authorization agreement. At their election, and in their sole discretion, they may avail themselves of any provision of this agreement. However, this document is a supplement to, and not a replacement or modification of, any agreement you have with those Customers, or any policies and procedures of such Customer. Each customer retains the right to stop doing business with this Individual as it sees fit. Use of the AuctionACCESS System is open only to licensed dealers and their business associates and is a privilege, not a right. You may authorize and register only those individuals who are bona fide employees or independent contractors for your dealership. Retail buyers or others not affiliated with your business are not eligible to use the System. By signing or clicking approval below, you also certify that the Individual is affiliated with your business and is eligible to use the System. We reserve the right to immediately terminate any authorization obtained for ineligible persons and the right to terminate your AuctionACCESS membership if you authorize a person who is not eligible to use the System, as well as the right to terminate either or both without cause in our sole discretion. You agree that these terms and any other commitments or account forms submitted to AutoTec, its affiliates, and any other Customers, by you or any authorized Individual, shall have the same force and effect as though personally signed by each of you and may be enforced as originals, even if they were accepted online, by , via "click-through" agreement, or in other digital, pdf, or facsimile format. Signature By: Printed Name of Authorized Signer (Owner/Officer/Manager) Its: Title of Authorized Signer (Owner/Officer/Manager) Date: Signature of Authorized Signer (Owner/Officer/Manager) DAL Form (Rev. 08/01/2013) Copyright AutoTec, LLC. All rights reserved.

12 Individual Authorization Letter Agreement Date: To Whom It May Concern: Individual's AuctionACCESS ID: You, the individual referenced below ( Individual or "you"), wish to register, as of the date listed above, with AutoTec, LLC s AuctionACCESS System. You hereby authorize AutoTec, LLC, its affiliate Auction Insurance Agency, and those of its customers that subscribe to AutoTec s AuctionACCESS System (including Manheim, Inc. and its affiliates, ADESA, Inc. and its affiliates, and all other subscribing auctions) and at which you deal (or otherwise provide any AuctionACCESS number) at any time ( Customers ) to provide, obtain, store, use, and share amongst themselves, and externally, as each sees fit, the information contained on this application, on any other forms provided to AutoTec, and other information regarding you and/or your dealings with each, including transaction, bank, and credit information and consumer reports. You understand that AutoTec provides this information to said Customers without verifying the same, on an as is basis, expressly disclaiming any express or implied warranties regarding such information. Customers are not limited to businesses engaged in the automobile dealer or auction industries, but may also include other businesses providing goods or services to such industries. By signing below, you (1) agree to the terms of this registration and AutoTec's Terms and Conditions (as they may be amended from time to time) posted on (2) warrant that you are solvent and the information provided herein is complete, accurate, and truthful, (3) acknowledge that registration in the AuctionACCESS System is no guarantee of purchasing privileges or credit with any Customer, (4) agree to be bound by the policies and procedures of each Customer with whom you deal or attend, (5) agree that AutoTec, LLC, Auction Insurance Agency, and subscribing Customers may contact you, on their own behalf or on behalf of their respective sellers, consignors, or other customers, for any commercial or advertising purpose, using the telephone numbers (whether business, home, or mobile numbers), fax numbers, addresses, and other contact information provided on this form, or at any other address, telephone number, fax number, or address used in connection with your business, and (6) agree to disclose AuctionACCESS numbers only to subscribing Customers. You agree that these terms and any other commitments or account forms submitted by you to AutoTec, its affiliates, and any Customers shall have the same force and effect as though personally signed by you and may be enforced as originals, even if they were accepted online, by , via "click-through" agreement, or in other digital, pdf, or facsimile format. Date of Birth: Taxpayer ID Number: Please select ID type SSN US: ITIN Mexico: CURP Other: N/A Printed Legal Name of Individual Individual Signature Photo Identification Driver's License State/Province Issued ID Passport Voter Registration Card (Mexico Only) Photo ID Number: Issue Date: State/Province or Country: Expiration Date: Contact Information Home Address: City: State/Province (if applicable): Colony (if applicable): Postal Code: Country: Mobile Telephone: Home Telephone: IAL Form (Rev. 07/14/2014) Copyright AutoTec, LLC. All rights reserved.