3776 S.R. 93 N.E., Crooksville, OH 43731
Toll Free (866) 818-4435 * Phone (740) 982-3030 * Fax (740) 982-3055
www.valueautoauction.com
3776 S.R. 93 N.E., Crooksville, OH 43731
Toll Free (866) 818-4435 * Phone (740) 982-3030 * Fax (740) 982-3055
www.valueautoauction.com
(Hereinafter Referred to as Auction)
Name of Dealer: ______________________________________________ Telephone(____)________________________
(Legal Name if Different) ________________________________________________ Fax#(____)___________________
(Hereinafter Referred to as Dealer)
Address: ____________________________________________City______________________ST.______Zip__________
BUSINESS INFORMATION
Is the Dealer: An Individual____ Partnership____ Corporation____
Federal Tax ID#____________________
If Registered with AuctionAccess, please provide Dealership #___________________ Individual #___________________
When was Dealer Organized? ___/___/_____
Dealer License #_____________ Sales Tax #____________________
Do you expect to Buy ___Sell___ If you expect to buy, will you use: Cash ___Checks ___Drafts __(Subject to Auction Approval)
Type of Dealer: Franchised___Used___ Wholesale___ Retail___ If Franchised, Make of Car Sold: __________________
*Auction and its insurers are authorized to investigate the history of Dealer and any of Dealer's Owner and Officers
through banks, financial institutions, credit reporting agencies and other sources. YES____ NO____
List of Owners and Officers
Name___________________________________ Title_________________________ SSN__________________________
Home Address____________________________________________ Phone___________________ U.S. Citizen? Yes No
Name___________________________________ Title_________________________ SSN__________________________
Home Address____________________________________________ Phone___________________ U.S. Citizen? Yes No
Name___________________________________ Title_________________________ SSN__________________________
Home Address____________________________________________ Phone___________________ U.S. Citizen? Yes No
CREDIT INFORMATION
Bank___________________________________Address_____________________________________________________
Name of Official__________________________Account #_____________________Credit or Float Plan Limit_______
How Long Doing Business? _________________Finance Company___________________________________________
Finance Company Address____________________________________________________________________________
Name of Official______________________________Credit or Floor Plan Limit $_______________________________
How Long Doing Business?______________________
*If you have done business with either of the above for less than 3 years, give previous financial institution(s) name
and address.
Bank____________________________________Address____________________________________________________
Finance Company____________________________Address_________________________________________________
3776 S.R. 93 N.E., Crooksville, OH 43731
Toll Free (866) 818-4435 * Phone (740) 982-3030 * Fax (740) 982-3055
www.valueautoauction.com
Dealer Name:_______________________________________________________________________
Owner: ________________________________________________Telephone: (____)____________
E-Mail Address:_________________________________________ Fax#: (____)________________
Dealer License#:_________________________________________Expiration Date:____/____/____
Federal ID#:____________________________________________ Resale Tax#:________________
BUSINESS TYPE
TYPE:
Corporation
LLC
Bank
Fleet/Lease
Franchise
Rental
Sole Proprietorship
Partnership AuctionAccess#:__________________
Government
Salvage
Independent
Wholesale
Factory
Bank Name:________________________________________________________________________
Contact:___________________________________________________________________________
Branch Name:______________________________________________________________________
Address:___________________________________________________________________________
City:_________________________________State:_______________Zip:______________________
Phone Number: (___)___________________
Account Number:__________________________
3776 S.R. 93 N.E., Crooksville, OH 43731
Toll Free (866) 818-4435 * Phone (740) 982-3030 * Fax (740) 982-3055
www.valueautoauction.com
Authorized Buyer Form (pg.1 of 2)
Please check one choice below:
ADD
CHANGE
REMOVE
:Authorized Buyer
Dealer Name:_______________________________________________________________________
Address:___________________________________City_____________________ST_____Zip______
Phone Number: (_____)______________________
Authorized Buyer Name (Please Print):___________________________________________________
Authorized Buyer's Phone Number:______________________________________________________
******** I, ____________________, represent I am the named account holder and authorize Value
Auto Auction to add/remove/change the above person as an authorized buyer on this account as
indicated above.*********
Printed Account Holder's Name:____________________________________Date:________________
Signature of Account Holder:______________________________________Date:_________________
*By designating an authorized user on this account(s), you are granting permission for this
person to access and/or make changes to your account(s).
**By removing the authorized buyer on the account(s), you are revoking permission for this
person to access and/or make changes to your Value Auto Auction account(s).
***You may be contacted should we have any questions regarding this form.
Authorized Buyer Form (pg. 2 of 2)
References:
Other Auctions You Attend:_____________________________________ How Long Registered?_____________________
Other Auctions You Attend:_____________________________________ How Long Registered?_____________________
Dealer or Other Business Reference:______________________________ How Long Registered?_____________________
Authorized Representatives:
The following person(s) are duly authorized to buy and sell automobiles, to execute checks or drafts, to execute bills of sales, assignments
of titles and warranties of titles on behalf of Dealer. The authority of the following person(s) to act on behalf of the Dealer shall continue
in full force and effect until terminated by Dealer in writing to the Auction. Dealer does hereby guarantee all transactions made by such
person(S).
Representative:________________________________ Signature:________________________________________
SS#:_________________________________________
DOB:____/____/______
Phone #____________________
Authorized to sell cars?
YES  NO 
Authorized to sign checks?
YES  NO 
Account Holder's Signature:__________________________
Authorized to sign drafts?
YES 
Date: _____/______/__________
NO 
Representative:________________________________ Signature:________________________________________
SS#:_________________________________________
DOB:_____/_____/______ Phone #____________________
Authorized to sell cars?
YES 
NO 
Authorized to sign checks?
YES  NO 
Account Holder's Signature:___________________________
Authorized to sign drafts?
YES 
Date: ______/_____/_____ Phone #____________________
NO 
Representative:________________________________ Signature: ________________________________________
SS#: _________________________________________ DOB:_____/_____/______ Phone #____________________
Authorized to sell cars?
YES NO 
Authorized to sign checks?
YES 
NO 
Account Holder's Signature:___________________________
Authorized to sign drafts?
YES 
NO 
Date: _____/______/_____ Phone #_____________________
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 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 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 waves 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. This instrument
shall bind the respective heirs, executors and administrators, and assigns if the undersigned, and shall inure to the benefit of Auction, its successors,
assigns, and subrogees.
Where there is more than one signatory to this agreement each signatory shall be jointly and severally liable under the agreement.
IN WITNESS WHEREOF the undersigned have hereunto set their hands and seals this _____Day of________, 20____.
_____________________________WITNESS
___________________________________________
_____________________________WITNESS
___________________________________________
_____________________________WITNESS
___________________________________________
3776 S.R. 93 N.E., Crooksville, OH 43731
Toll Free (866) 818-4435 * Phone (740) 982-3030 * Fax (740) 982-3055
gregm@valueautoauction.com
Dealer Name:_____________________________________________ Date:____/_____/_________
Bank Name:______________________________________________ Account Number:_________
Bank Address:_________________________________City_______________ST_____Zip________
Bank Phone: (____)______________________ Bank Fax: (_____)_________________________
To Whom it May Concern:
I have listed your financial institution as my principal banking reference for Value Auto Auction (VAA). VAA
is a wholesale vehicle auction for licensed new and used motor vehicle dealers and repossessed vehicles. I authorize
the release of the information requested below.
This data is for VAA's internal purposes only and will be kept strictly confidential. Your prompt reply is
appreciated. If you have any questions, please feel free to contact VAA by phone, fax, or email listed at the top of this
page.
I hereby grant my written consent to Value Auto Auction to run a credit check and obtain a credit report on
my dealership and me. I also give consent to the bank listed above to release credit information to Value Auto Auction.
Any charges associated with these services should be billed directly to me, the account holder.
Regards,
Authorized Printed Name:________________________ Authorized Signature:___________________
Checking Account:
OPEN DATE
AVERAGE BALANCE
CURRENT BALANCE
RELATIONSHIP
Other Accounts
OPEN DATE
TYPE
AVERAGE
BALANCE
CURRENT
BALANCE
Number of Returned Checks:________ Line of Credit:______________
RELATIONSHIP
Available Balance:___________________
Banker's Signature:_______________________________
Title:______________________________________
Printed Name:___________________________________
Date:________/_________/____________________
3776 S.R. 93 N.E., Crooksville, OH 43731
Toll Free (866) 818-4435 * Phone (740) 982-3030 * Fax (740) 982-3055
www.valueautoauction.com
Commercial Blanket Power of Attorney
Company Name:________________________________________
Date:____/____/_____
While transacting business with the Value Auto Auction LLC. in Crooksville, Ohio, I hereby appoint
the following company representative(s) as my attorney in fact to sign all motor vehicle documents
relating to title and registration transactions for said company.
Value Auto Auction Representatives
___________________________________
___________________________________
___________________________________
___________________________________
Form remains on file with Value Auto Auction LLC until withdrawn or a replacement form is provided
by the company. A replacement form is the company's sole responsibility and must be resubmitted
when changes to this authorization are desired.
Company Name:_____________________________________________________________________
Printed Name:__________________________
President
Vice President
Owner
Signature:_________________________________
Other:_________________________________
Address:___________________________________City:_______________State____Zip___________
Business:___________________________________
Phone Number: (___)__________________
State of Ohio
Personally appeared before me, the undersigned authority, _______________________________with
whom I am personally acquainted, who acknowledged that the foregoing instrument was executed for
the purpose therein contained, on this ________ day of _______________, ________.
Day
Month
Year
_____________________________
Notary Public
SS:
My Commission Expires: _____/______/_______
3776 S.R. 93 N.E., Crooksville, OH 43731
Toll Free (866) 818-4435 * Phone (740) 982-3030 * Fax (740) 982-3055
www.valueautoauction.com
FAX CONSENT FORM
In order for Value Auto Auction to be compliant with the recent Federal Communication Commission regulations,
we must obtain expressed written consent from our customers and business partners in order to call and transmit
faxes and/or e-mails. Please have the appropriate person in your company fill out this form and fax it back to us as
soon as possible. Thank you for your continue business with us.
Company/Organization for which consent is being provided:
___________________________________________________________________________________
Name of person authorized to give such consent:
___________________________________________________________________________________
Phone number(s) for which this consent is being provided:
___________________________________________________________________________________
Fax number(s) for which this consent is being provided:
___________________________________________________________________________________
E-Mails for which this consent is being provided:
___________________________________________________________________________________
I understand that by providing the fax number(s) and or e-mail(s) above on behalf of the customer/business partner
specified above, I am authorized to and hereby consent for the customer/business partner to receive faxes and emails sent by, or on behalf of Value Auto Auction.
SIGNATURE:______________________________________
DATE:____/____/______
3776 S.R. 93 N.E., Crooksville, OH 43731
Toll Free (866) 818-4435 * Phone (740) 982-3030 * Fax (740) 982-3055
www.valueautoauction.com
PERSONAL GUARANTY
In consideration of Auction allowing Dealer to buy and sell motor vehicles through Auction, the undersigned whether one or
more, personally covenants, guarantees and warrants the title of each vehicle sold by Dealer through Auction will be valid and will be free
and clear of all liens and encumbrances, whatsoever. The undersigned unconditionally agrees to reimburse Auction for any losses,
damages, expenses or costs, including attorney's fees, incurred by Auction as a result of any breach of the foregoing warranty of title as to
any such motor vehicle.
The undersigned further guarantees full payment of Dealer's debts to Auction, including any checks or drafts issued by Dealer or
any of Dealer's representatives, together with any losses or expenses incurred by Auction in collecting or attempting to collect such debt,
including attorney's fees.
The undersigned further guarantees the Odometer Mileage Statements given by or on behalf of the Dealer in all sales of motor
vehicles by Dealer through Auction, and agrees to indemnify and hold harmless the Auction from all losses and expenses caused it by any
such Odometer Mileage Statement which proves to be false or inaccurate including without limitation: (1) payments made by the auction
under any Odometer Protection Program it may establish in connection with any vehicle sale, (2) any amount paid in settlement of any
claim in connection with any such odometer complaint or problem (3) any amounts paid as damages for any odometer claim, including
any punitive damages, and (4) any expense or costs incurred by Auction in collecting or attempting to collect any losses, including
attorney's fees.
The undersigned acknowledges that Auction shall have the right to refuse to transact business with the Dealer, to modify, extend
or change time of payment to settle with Dealer, to release any and all collateral or security, without notice to the undersigned and without
discharging or affecting the liability of the undersigned herein. This guaranty is to be a continuing guaranty and the undersigned hereby
waves notice of acceptance of this guaranty, presentment, demand, and not merely as surety, and the bankruptcy or any assignment in
favor of the Creditors of Dealer shall not affect this agreement.
This Guaranty shall bind the respective heirs, executors, administrators, and assigns of the undersigned, and shall inure the
benefit of the Auction, its successors, assigns and subrogees.
Where there is more than one signatory to this agreement, each signatory agrees to be jointly and severally liable under this
agreement.
GUARANTOR: (Print)_____________________________________
(Sign)__________________________________________
GUARANTOR: (Print)_____________________________________
(Sign)__________________________________________
GUARANTOR: (Print)_____________________________________
(Sign)__________________________________________
DATE: ______/______/__________
Value Auto Auction Is the Fastest Growing Auto Auction in the Midwest
Value Auto Auction Dealer Services
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Pickup and Delivery of vehicles
Wash & Vacuum only $10
Complete detail and mechanic facility
Condition Reports (for Banks and Fleet Customers)
Online Simulcast auction
Test Track
NO- Registration Fees, “No Sale” Fees, Re-Run Fees
No Storage Fees, with 40 acres of secured storage (up to 30 days)
Title processing
Buy with Confidence, Check and Titles guaranteed.
Fully insured
Friendly staff, relaxed atmosphere
First Auction to offer FREE lunch.
Quick Checkout
Bi-Weekly Float Sales
All Major Floor plan companies honored.
www.ValueAutoAuction.com