paquete de inscripción

Transcription

PAQUETE DE INSCRIPCIÓN
Negocio con actividad relacionada con Autos
Para completar su inscripción necesitamos los siguientes documentos:
Formulario de Inscripción -Para un negocio
Copia de licencia de negocio (Actividad relacionada con autos)
Después que su licencia sea aprobada, tiene 30 días para entregar traducción en Ingles notariada.
Contrato De Exportación Dirigida
Carta Poder para Firmar y Enviar Títulos
Ohio Solicitud De Compra (Para comprar en las subastas de Ohio)
Texas VTR-901 Certificado de Comprador (Para comprar en las subastas de Texas)
Forma de Identificación Vigente (Con foto y firma)
$200 USD Costo de Inscripción
Certificados de Reventa
Para que sus compras sean exentas de impuestos, donde sea permitido, hay
que completar estos certificados de reventa.
California
Florida
MRC (varios estados donde es permitido)
Envíe sus documentos de inscripción vía:
Correo electrónico: [email protected] (Favor de escanear o tomar foto digital)
Fax: 001.630.382.5628
Insurance Auto Auctions | ATTN: Buyer Services | Two Westbrook Corporate Center Suite 500 | Westchester, IL 60154
Teléfono: 001.708.492.7080 | Fax: 001.630.382.5628 | E-mail: [email protected]
05.01.2015
PAGINA DE CONTENIDO
Formulario de Inscripción __________________________________________________ 1
Complete el formulario de inscripción y no olvide que la firma debe ser igual a la firma de la identificación que esta usando para
inscribirse.
Para tener acceso a su Centro de Subastas y poder hacer ofertas en línea, necesitamos un correo electrónico.
Contrato De Exportación Dirigida ___________________________________________ 2
Todo negocio con actividad relacionada con autos fuera de los EE.UU. será inscrito como Exportador y tendrá que completar este
formulario.
Carta Poder para Firmar y Enviar Títulos ______________________________________ 3
La carta poder es para tener registrado quien puede firmar los documentos de venta y para instrucciones de entrega.
Para correo normal o FedEx la dirección tiene que ser en los EE.UU..
Ohio - Solicitud de Compra ________________________________________________ 5
Completando este formulario podrá comprar autos listados para un “Exportador” en las subastas de Ohio.
Texas VTR-901 Cert. de Comprador
(Para comprar en los remates de Texas) ________________________________________ 7
Completando este formulario podrá comprar autos listados para un “Texas Foreign Buyer” en las subastas de Texas.
Certificado de Reventa
Para que sus compras sean exentas de impuestos, hay que completar los certificado de reventa de los estados donde va comprar
autos. Por favor seguir las instrucciones de la muestra y enviar solo el formulario completado y firmado.
California ______________________________________________________________
8
Florida________________________________________________________________
10
MRC (donde sea permitido)________________________________________________ 12
Licencias Adicionales Requeridas Para 5 Estados
(Bid Card) _____________________________________________________________ 14
Hay cinco estados que requieren de una Licencia adicional antes de poder comprar es sus remates.
Estos estados son:
Alabama
Michigan
Nevada
Utah
Wisconsin
Solo Michigan y Wisconsin ofrecen esta Licencia para un Exportador. Para mayores informes, favor de comunicarse
directamente con la oficina del estado.
05.1.2015
SOLICITUD PARA COMPRADOR
COMERCIAL
1
INFORMACIÓN DEL COMPRADOR
Nombre de Negocio: _______________________________________________________________________________________
Nombre: _______________________________________________ Apellido: _________________________________________
UBICACIÓN (no Casilla Postal)
Dirección: ______________________________________________________________________________________________
Ciudad:____________________________ Estado: ___________________ Codigo postal: ___________ País: ______________
Telefono: ___________________________ Fax: ______________________________ Celular ___________________________
DIRECCIÓN POSTAL (si es diferente que ubicacion principal)
Numero de calle: ________________________________________________________________________________________
Ciudad:__________________________ Estado: _________________ Codigo posta: _______________ País: _______________
Forma de Identificación Vigente (Con foto y firma)
Numero: ____________________ Ciudad/País: ___________________________ Fecha de vencimiento: __________________
2
3
INFORMACIÓN DE USARIO PARA EL CENTRO DE SUBASTAS
Esta sección debe ser completada si desea acceso a nuestras subastas por internet.
¿DESEA ACCESO AL CENTRO DE SUBASTAS?
No (Si no, prosiga a la seccion de licencia)
Correo electrónico:
NOMBRE DE USUARIO (4-15 letras o numeros. Sin espacio)
___________________________________________________
_________________________________________________
LICENCIA CON ACTIVIDAD RELACIONADA CON AUTOS
Fotocopia requerida
NUMERO DE
LICENCIA: ________________________________
4
Si
FECHA DE
INSCRIPCION:
________________________
El comprador registrado firmante (propietario, socio, presidente) ha leido y acepta los terminos, politicas,
condiciones e informacion establecidas en las “Reglas de Subastas” de Insurance Auto Auctions y en los “Terminos de
Uso” del sitio web de IAA y reconoce que el cumplimiento de los mismos es una condición para seguir siendo
comprador en buenos terminos con Insurance Auto Auctions.
Firma del comprador registrado: __________________________________________ Fecha: _______________________________
05.1.2015
1
CONTRATO DE EXPORTACIÓN DIRIGIDA
Yo, ____________________________________________, (firmante) acuerda a las siguientes condiciones
relativas a la exportación de vehículos adquiridos en las instalaciones de la subasta de Insurance Auto
Auctions, Inc. (“IAAI”). A menos que se acuerde expresamente de otro modo por escrito con respecto a la
compra de un vehículo particular, cualquier y todas las transacciones de exportación de tales compras serán
incluidas en “Contrato de exportación Dirigida”, en la que el firmante está actuando como la Parte Principal de
relaciones Exteriores de Interés (“FPPI”). A medida que el FPPI, los firmantes autorizará un agente de reenvío
de EE.UU. para facilitar la exportación de dichos vehículos de los Estados Unidos y preparar y presentar toda la
información necesaria de Exportación Electrónica (EEI). IAA liberara los vehículos comprados por el firmante
FPPI a través de los sistemas de subastas de IAA al Agente de remisión en los Estados Unidos del FPPI.
El firmante FPPI está de acuerdo en que ni IAA ni los proveedores que venden vehículos a través de las
instalaciones de subastas de IAA será el exportador bajo el Reglamento de Administración de Exportaciones
(“EAR”) en tales transacciones de exportación en ruta. El FPPI también reconoce que los vehículos comprados a
través de las instalaciones de la subasta IAA podrían, potencialmente, ser sujetos a requisitos de licencia de
exportación. Al firmar esta carta, el FPPI acuerda llevar a cabo con respecto a los vehículos comprados a través de
las instalaciones de subastas de IAA, las siguientes responsabilidades: (1) para determinar los requisitos de licencia
de exportación aplicables, (2) para obtener cualquier licencia de exportación necesarios y / o cualquier otra forma
de autorización de exportación requerida, (3) para llevar a cabo todas las formalidades aduaneras para la
exportación de los vehículos, y (4) autorizar al Agente de remisión los EE.UU, quien será el exportador para
propósitos del EAR, y actuar en nombre del FPPI en conexión con la exportación de dichos vehículos y para
preparar y presentar la EEI y las solicitudes de exportación requiere licencia.
Reconocido y aceptado
(Nombre del FPPI)
______________________________________________
(Firma del dueño registrado)
_____________________
Por favor, haga que el propietario registrado de su empresa firme esta carta para indicar que el FPPI reconoce y
de acepta los términos anteriormente presentados, y devuelva una copia firmada de este acuerdo al contacto de
IAA señalado en la parte inferior. Las futuras versiones de los vehículos adquiridos por el IAA FPPI a EE.UU.
el Agente de Transferencia FPPI están supeditados a la recepción de este acuerdo firmado.
Teléfono: 001. 708.492.7080 | Fax: 001.630.382.5628 | E-mail: [email protected]
05.1.2015
2
CARTA PODER PARA FIRMA Y ENTREGA DE
DOCUMENTO DE VENTA
Elija una de las cuatro opciones.
Esto es solo para documentos de
venta que están disponibles al
momento de la subasta.
Elija una de las tres opciones.
Esto es solo para documentos de
venta que no están disponibles al
momento de la subasta.
Si elige pagar los $12 por envío de
FedEx, recuerde que hay que
pagarlo primero antes que la
subasta pueda enviar el
documento.
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POWER OF ATTORNEY
1
FOR TITLE SIGNING AND FORWARDING
TITLE SIGNING
Power of attorney to authorize the following individual or company to sign title(s), odometer disclosure statements and other necessary document(s)
only on behalf of the registered buyer in connection with sales of vehicles to such registered buyer.
I,
do hereby make, constitute
(Account Owner )
and appoint
(IAA, Company Name or Individual)
as his/her or its lawful attorney in fact (“Attorney in Fact”), to sign, on behalf of Buyer, all papers and documents required to transfer to Buyer interest
in any and all vehicles purchased by buyer through Insurance Auto Auctions, granting to the Attorney in fact full power to sign all documents as
Buyer might or could do if personally present; and hereby ratifying and confirming all document signing that the Attorney in Fact shall do or cause to
be done by virtue of the authority herein given.
This Power of Attorney applies to the signing of vehicle sale documents at all IAA locations
2
TITLE FORWARDING
Please be advised that Titles/Sale Documents/Odometer Disclosure Statements for all vehicles purchased on behalf of
____________________________________________________________________________
(Business Name or if Public Buyer, First and Last Name)
AVAILABLE AT TIME OF AUCTION
OFF SITE / TBO (TO BE OBTAINED)
requested to be (choose one):
requested to be (choose one):
Given to Buyer
Given to Buyer
Given to Transporter
Regular Mail to U.S. address below
(IAA is not responsible if lost or stolen)
Regular Mail to U.S. address below
(IAA is not responsible if lost or stolen)
FedEx 2Day Service to U.S. address below
FedEx 2Day Service to U.S. address below
Buyer's FedEx Account#: _________________________
IAA FedEx ($12 must be paid first before title can be
shipped via FedEx)
3
Company/Individual Name:
Address:
State:
City:
Zip:
Email:
Phone:
4
Buyer's FedEx Account#: _________________________
IAA FedEx ($12 must be paid first before title can be
shipped via FedEx)
Signature of Account Owner
Buyer Number
Date
05.01.2015
Teléfono: 001. 708.492.7080 Fax: 001.630.382.5628 | E-mail: [email protected]
4
SOLICITUD DE COMPRA EN OHIO
Buyer #: __________________
Número de comprador si ya está inscrito
DECLARATION PURSUSANT TO OH REVISED CODE SEC. 4738.021(A)(3)
(FOREIGN AND QUALIFYING OUT OF STATE)
Buyer Information
Nombre del negocio
Company Name: _________________________________________________________________________________________
Nombre del dueño de la cuenta
Owner (officer, partner) Name: ______________________________________________________________________________
Dirección
Street Address:__________________________________________________________________________________________
City: _________________________________________________ State: ____________ Zip: _____________________________
País
Country: ___________________________________________
THE ABOVE NAMED BUYER (“BUYER”) DOES HEREBY DECLARE, UNDER PENALTY OF PERJURY, THAT THE BUYER IS
AUTHORIZED TO PURCHASE SALVAGE VEHICLES IN THE BUYER’S HOME JURISDICTION AND THAT THE BUYER’S
HOME JURISDICTION ISSUES NO LICENSE WITH RESPECT TO SUCH PURCHASES.
Firma del dueño de la cuenta
____________________________________________
(Signature)
Puesto en la compañía
____________________________________________
(Title)
S
E
U
Fecha
____________________________________
(Date)
A
R
T
Note: This form is to be used by a used motor vehicle dealer, automotive recycler, salvage dealer, salvage dismantler, junk
yard, scrap metal processing facility authorized to purchase salvage motor vehicles by another state, country, or jurisdiction.
M
5
Buyer #: __________________
DECLARATION PURSUSANT TO OH REVISED CODE SEC. 4738.021(A)(3)
(FOREIGN AND QUALIFYING OUT OF STATE)
Buyer Information
Company Name: _________________________________________________________________________________________
Owner (officer, partner) Name: ______________________________________________________________________________
Street Address:___________________________________________________________________________________________
City: _________________________________________________ State: ____________ Zip: _____________________________
Country: ___________________________________________
THE ABOVE NAMED BUYER (“BUYER”) DOES HEREBY DECLARE, UNDER PENALTY OF PERJURY, THAT THE BUYER IS
AUTHORIZED TO PURCHASE SALVAGE VEHICLES IN THE BUYER’S HOME JURISDICTION AND THAT THE BUYER’S
HOME JURISDICTION ISSUES NO LICENSE WITH RESPECT TO SUCH PURCHASES.
____________________________________________
(Signature)
____________________________________
(Date)
____________________________________________
(Title)
Note: This form is to be used by a used motor vehicle dealer, automotive recycler, salvage dealer, salvage dismantler, junk
yard, scrap metal processing facility authorized to purchase salvage motor vehicles by another state, country, or jurisdiction.
6
CERTIFICADO DE COMPRADORVENTA UNICAMENTE PARA EXPORTACION
VTR - 901 (11/09)
DHT # 160970
Fecha de Venta
De acuerdo con el Código Texano de Transporte, §501.099, si usted no es un residente de Estados Unidos, Usted solo puede comprar un vehículo no
reparable o de chatarra de un comerciante de chatarra o de una entidad gubernamental. El vendedor debe obtener una copia legible de su identificación
fotográfico, otorgado por la jurisdicción donde usted reside.
INFORMACION SOBRE VENDEDOR (Comerciante de Chatarra o Entidad Gubernamental )
Insurance Auto Auctions
DIRECCION
NOBRE DEL VENDEDOR
1000 Dalton Lane, Austin, TX 78742
CUIDAD, ESTADO, CODIGO POSTAL
INFORMACION SOBRE COMPRADOR
NUMERO DE COMERCIANTE DE CHATARRA ( SI APPLICABLE)
#1
#2
#3
NOMBRE DEL COMPRADOR
DIRECCION
PAIS
NUMERO DE IDENTIFICACION
PAIS EMISOR
#4
TIPO DE IDENTIFICACION
La siguiente información debe ser llenada y enviada a IAA antes del próximo remate
1. Nombre de negocio
2. Numero de comprador (si ya esta registrado)
3. Nombre del dueño de la cuenta
4. Forma de identificación (licencia de manejar, visa o pasaporte)
5. Firma
6. Imprima su nombre
7. Fecha
ENTIENDO QUE TODOS LOS VEHÍCULOS SE DEBEN EXPORTAR Y NO PUEDEN VOLVER A LOS ESTADOS UNIDOS
PARA NINGÚN PROPÓSITO
Yo, suscrito, certifico que, de acuerdo con el Código Texano de Transporte, §501.099, Venta de Vehículos para Exportación Únicamente, yo:

Quitare el/los vehículo(s) arriba descrito(s) de los Estados Unidos;

NO devolveré estos vehículos a ningún estado de los Estados Unidos bajo pretexto de ser registrados o intitulados con un número de identificación del fabricante; y

NO conduciré ni permitiré que se conduzcan los vehículos arriba citados sobre carreteras públicas.
#5
FIRMA DEL COMPRADOR
#6
NOMBRE ESCRITO EN LETRA DE MOLDE
#7
FECHA
7
AVISO: El Código de Transporte, §501.155, provee que el falsificar información sobre documentos de transferencia representa un delito de tercer grado punible con encarcelamiento
de un máximo de diez años y un mínimo de dos años. Además de encarcelamiento, también se podrá imponer una multa de hasta $10,000.
Buyer #: __________________
California Resale Certificate -Sales by Auto Auctions and Auto Dismantlers
Sales of “vehicles” as defined in Regulation 1566.1, subdivision (a)(2), at auction or by dismantlers licensed under the
California Vehicle Code are presumed to be retail sales and not sales for resale unless the seller timely takes a valid
resale certificate from any person specified in paragraph 2 below. The resale certificate must include the purchaser’s
license or registration number, if applicable.
I HEREBY CERTIFY:
1.
A
R
T
S
E
_____I hold valid California seller’s permit number: ________________________________________________
X am not required to hold a California seller’s permit because I do not make any sales in the State.
_____I
2.
I certify (check statement that applies and provide your license or registration number, if applicable):
U
M
_____I am licensed, registered, regulated, or certificated under the California Health and Safety Code or the
California Vehicle Code as a dealer or dismantler.
My California license or registration number is: ______________________________________________.
_____I am licensed, registered, regulated, or certificated under the California Business and Professions Code as
an automotive repair dealer.
_____I am qualified as a scrap metal processor as described in the California Vehicle Code.
X am not registered or licensed in California, but I am licensed, registered, regulated, certificated, or
_____I
otherwise authorized as a dealer, dismantler, automotive repairer, or scrap metal processor in the
following jurisdiction outside the state of California:
Número de Licencia
País
State/Country________________
Registration/License Number, if applicable_______________________
3.
de Negocio
IAA
This certificate is for the purchase from _____________________________
of the property described below.
[Vendor’s name]
4.
I will resell the item(s) described in paragraph 5, which I am purchasing for resale in the form of tangible personal
property in the regular course of my business operations, and I will do so prior to making any storage, use, or
other consumption of the item(s) other than retention, demonstration, and display while holding the item(s) for
sale in the regular course of my business. I understand that if I use the item(s) purchased under this certificate in
any manner other than as just described, I will owe use tax based on each item’s purchase price or as
otherwise provided by law.
5.
Autos
Description of property to be purchased: ________________________________________________________
6.
I have read and understand the following:
A person may be guilty of a misdemeanor under California Revenue and Taxation Code section 6094.5 if the
purchaser knows at the time of purchase that he or she will not resell the purchased item prior to any use (other
than retention, demonstration, or display while holding it for resale) and he or she furnishes a resale certificate to
avoid payment to the seller of an amount as tax. Additionally, a person misusing a resale certificate for personal
gain or to evade the payment of tax is liable, for each purchase, for the tax that would have been due, plus a penalty
of 10 percent of the tax or $500, whichever is more. Name of Purchaser
Signature of Purchaser, Purchaser’s Employee or Authorized Representative
Printed Name of Person Signing
Imprimir nombre del dueño de la cuenta
Title
Address of Purchaser
Dirección
Telephone Number
Teléfono
Date
Fecha
8
Buyer #: __________________
California Resale Certificate -Sales by Auto Auctions and Auto Dismantlers
Sales of “vehicles” as defined in Regulation 1566.1, subdivision (a)(2), at auction or by dismantlers licensed under the
California Vehicle Code are presumed to be retail sales and not sales for resale unless the seller timely takes a valid
resale certificate from any person specified in paragraph 2 below. The resale certificate must include the purchaser’s
license or registration number, if applicable.
I HEREBY CERTIFY:
1.
_____I hold valid California seller’s permit number: ________________________________________________
_____I am not required to hold a California seller’s permit because I do not make any sales in the State.
2.
I certify (check statement that applies and provide your license or registration number, if applicable):
_____I am licensed, registered, regulated, or certificated under the California Health and Safety Code or the
California Vehicle Code as a dealer or dismantler.
_____I am licensed, registered, regulated, or certificated under the California Business and Professions Code as
an automotive repair dealer.
_____I am qualified as a scrap metal processor as described in the California Vehicle Code.
_____I am not registered or licensed in California, but I am licensed, registered, regulated, certificated, or
otherwise authorized as a dealer, dismantler, automotive repairer, or scrap metal processor in the
following jurisdiction outside the state of California:
State/Country________________ Registration/License Number, if applicable_______________________
3.
This certificate is for the purchase from _____________________________ of the property described below.
[Vendor’s name]
4.
I will resell the item(s) described in paragraph 5, which I am purchasing for resale in the form of tangible personal
property in the regular course of my business operations, and I will do so prior to making any storage, use, or
other consumption of the item(s) other than retention, demonstration, and display while holding the item(s) for
sale in the regular course of my business. I understand that if I use the item(s) purchased under this certificate in
any manner other than as just described, I will owe use tax based on each item’s purchase price or as
otherwise provided by law.
5.
Description of property to be purchased: ________________________________________________________
6.
I have read and understand the following:
A person may be guilty of a misdemeanor under California Revenue and Taxation Code section 6094.5 if the
purchaser knows at the time of purchase that he or she will not resell the purchased item prior to any use (other
than retention, demonstration, or display while holding it for resale) and he or she furnishes a resale certificate to
avoid payment to the seller of an amount as tax. Additionally, a person misusing a resale certificate for personal
gain or to evade the payment of tax is liable, for each purchase, for the tax that would have been due, plus a penalty
of 10 percent of the tax or $500, whichever is more. Name of Purchaser
Signature of Purchaser, Purchaser’s Employee or Authorized Representative
Printed Name of Person Signing
Title
Address of Purchaser
Telephone Number
Date
9
Buyer #: __________________
BLANKET AFFIDAVIT FOR PURCHASE OF MOTOR VEHICLES
BY NONRESIDENT DEALER FOR RESALE OUTSIDE FLORIDA
Nombre del negocio
Florida Dealer:___Insurance Auto Auctions____________
Nonresident Dealer: _______________________________
Address: Two Westbrook Corporate Center, Suite 500___
Address: _______________________________________
_Westchester, IL 60154 ___________________
______________________________________
Sales Tax No.: _80-8015716399-9, 80-8015716434-3___
Sales Tax No.: ___________________________________
Dirección
License No.: _____________________________________
Número de pasaporte o Visa
Passport or Visa No.: _______________________________
A
R
T
General description of the kind of property to be purchased for resale:
ANY AND ALL MOTOR VEHICLES
Before me, the undersigned, personally appeared the individual whose name and address is shown below, who certified
that he is authorized to execute this document for the nonresident motor vehicle dealer named above; that all motor
vehicles purchased from the Florida motor vehicle dealer named above will be transported outside Florida for resale and
for no other purpose; and that the purchaser is licensed and registered as a motor vehicle dealer in the state or country
and at the address shown above.
S
E
U
M
ACKNOWLEDGMENT
State of ______________________ )
County of ____________________ )
On this ______ day of _________________, 20_____ before me, _______________________________________
(insert name and title of notary officer)
personally appeared _____________________________________, who proved to me on the basis of satisfactory
(insert name and title of the owner/officer of the company)
evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that
he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signatures(s) on the
instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of ___________________ that the foregoing
paragraph is true and correct.
WITNESS my hand and official seal.
Firma del dueño de la
cuenta
Signature: ___________________________________ Non Resident Dealer Signature:_________________________
Imprimir nombre
My commission expires: ________________________ Printed Dealer Name: _________________________________
NOTARY SEAL
10
Buyer #: __________________
BLANKET AFFIDAVIT FOR PURCHASE OF MOTOR VEHICLES
BY NONRESIDENT DEALER FOR RESALE OUTSIDE FLORIDA
Florida Dealer:___Insurance Auto Auctions____________
Nonresident Dealer: _______________________________
Address: Two Westbrook Corporate Center, Suite 500___
Address: _______________________________________
_Westchester, IL 60154 ___________________
______________________________________
Sales Tax No.: _80-8015716399-9, 80-8015716434-3___
Sales Tax No.: ___________________________________
License No.: _____________________________________
Passport or Visa No.: ______________________________
General description of the kind of property to be purchased for resale:
ANY AND ALL MOTOR VEHICLES
Before me, the undersigned, personally appeared the individual whose name and address is shown below, who certified
that he is authorized to execute this document for the nonresident motor vehicle dealer named above; that all motor
vehicles purchased from the Florida motor vehicle dealer named above will be transported outside Florida for resale and
for no other purpose; and that the purchaser is licensed and registered as a motor vehicle dealer in the state or country
and at the address shown above.
ACKNOWLEDGMENT
State of ______________________ )
County of ____________________ )
On this ______ day of _________________, 20_____ before me, _______________________________________
(insert name and title of notary officer)
personally appeared _____________________________________, who proved to me on the basis of satisfactory
(insert name and title of the owner/officer of the company)
evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that
he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signatures(s) on the
instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of ___________________ that the foregoing
paragraph is true and correct.
WITNESS my hand and official seal.
Signature: ___________________________________ Non Resident Dealer Signature:_________________________
My commission expires: ________________________ Printed Dealer Name: _________________________________
NOTARY SEAL
11
Buyer #: __________________
UNIFORM SALES & USE TAX CERTIFICATE—MULTIJURISDICTION
The below-listed states have indicated that this form of certificate is acceptable, subject to the notes on pages 2-4. The issuer and the
recipient have the responsibility of determining the proper use of this certificate under applicable laws in each state, as these may
change from time to time.
Issued to Seller: ________________________________________________________________________________________
Two Westbrook Corporate Center, Suite 500, Westchester, IL 60154
Address: _____________________________________________________________________________________________
I certify that:
Name of Firm (Buyer): ________________________________
Nombre del negocio
Address: ___________________________________________
Dirección
__________________________________________________
__________________________________________________
__________________________________________________
is engaged as a registered
 Wholesaler
 Retailer
 Manufacturer
 Seller (California)
 Lessor (see notes on pages 2-4)

Exporter
X Other (Specify)_____________
_________________________________________________________
and is registered with the below listed states and cities within which your firm would deliver purchases to us and that any such purchases are for
wholesale, resale, ingredients or components of a new product or service1 to be resold, leased, or rented in the normal course of business. We are in
the business of wholesaling, retailing, manufacturing, leasing (renting) the following:
Description of Business: ____________________________________________________________________________________________
Aquí escriba - Auto Exporter
General description of tangible property or taxable services to be purchased from the seller: _______________________________________
Aquí escriba - Autos
________________________________________________________________________________________________________________
State
AL1
AR
AZ2
CA3
CO4
CT5
DC6
FL7
GA8
HI4,9
ID
IL4,10
IA
KS
KY11
ME12
MD13
MI14
MN15
State Registration, Seller’s Permit, or ID
Number of Purchaser
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
State
MO16
NE17
NV
NJ
NM4,18
NC19
ND
OH20
OK21
PA22
RI23
SC
SD24
TN
TX25
UT
VT
WA26
WI27
Number of Purchaser
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
A
R
T
S
E
U
M
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
I further certify that if any property or service so purchased tax free is used or consumed by the firm as to make it subject to a Sales or use Tax we
will pay the tax due directly to the proper taxing authority when state law so provides or inform the seller for added tax billing. This certificate shall
be a part of each order which we may hereafter give to you, unless otherwise specified, and shall be valid until canceled by us in writing or revoked
by the city or state.
Under penalties of perjury, I swear or affirm that the information on this form is true and correct as to every material matter.
Authorized Signature:_______________________________________________________________
(Owner, Partner or Corporate Officer)
Title: ____________________________________________________________________________
Date: ____________________________________________________________________________
Fecha
Revised 12/2011
12
Buyer #: __________________
UNIFORM SALES & USE TAX CERTIFICATE—MULTIJURISDICTION
The below-listed states have indicated that this form of certificate is acceptable, subject to the notes on pages 2-4. The issuer and the
recipient have the responsibility of determining the proper use of this certificate under applicable laws in each state, as these may
change from time to time.
Issued to Seller: ________________________________________________________________________________________
Two Westbrook Corporate Center, Suite 500, Westchester, IL 60154
Address: _____________________________________________________________________________________________
I certify that:
Name of Firm (Buyer): ________________________________
Address: ___________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
is engaged as a registered
 Wholesaler
 Retailer
 Manufacturer
 Seller (California)
 Lessor (see notes on pages 2-4)
 Other (Specify)_____________
_________________________________________________________
and is registered with the below listed states and cities within which your firm would deliver purchases to us and that any such purchases are for
wholesale, resale, ingredients or components of a new product or service1 to be resold, leased, or rented in the normal course of business. We are in
the business of wholesaling, retailing, manufacturing, leasing (renting) the following:
Description of Business: ____________________________________________________________________________________________
General description of tangible property or taxable services to be purchased from the seller: _______________________________________
________________________________________________________________________________________________________________
State
AL1
AR
AZ2
CA3
CO4
CT5
DC6
FL7
GA8
HI4,9
ID
IL4,10
IA
KS
KY11
ME12
MD13
MI14
MN15
Number of Purchaser
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
State
MO16
NE17
NV
NJ
NM4,18
NC19
ND
OH20
OK21
PA22
RI23
SC
SD24
TN
TX25
UT
VT
WA26
WI27
Number of Purchaser
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
____________________________________
I further certify that if any property or service so purchased tax free is used or consumed by the firm as to make it subject to a Sales or use Tax we
will pay the tax due directly to the proper taxing authority when state law so provides or inform the seller for added tax billing. This certificate shall
be a part of each order which we may hereafter give to you, unless otherwise specified, and shall be valid until canceled by us in writing or revoked
by the city or state.
Under penalties of perjury, I swear or affirm that the information on this form is true and correct as to every material matter.
Authorized Signature:_______________________________________________________________
(Owner, Partner or Corporate Officer)
Title: ____________________________________________________________________________
Date: ____________________________________________________________________________
Revised 12/2011
13
LICENCIAS ADICIONALES
REQUERIDAS PARA 5 ESTADOS
INFORMACION ADICIONAL (BID CARD)
Alabama, Michigan, Nevada, Utah y Wisconsin requieren de una Licencia adicional antes de poder comprar es sus subastas.
Solo Michigan y Wisconsin ofrecen esta Licencia a un Exportador.
Para mayores informes, favor de comunicarse directamente con la oficina del estado.
Michigan: Llame al 888-767-6424
Wisconsin: Llame al 608-266-1425 o visite http://www.dot.wisconsin.gov/business/dealers/forms/mv2651.pdf.
Alabama:
License: Alabama Buyer Identification Card (BID Card)
How to Apply: Call Alabama Department of Revenue, Sales,
Use, Business & Tax Division – Severance & License Section at
334-353-7827 or click on http://www.ador.state.al.us/licenses/
LIC-756-3.pdf
Who’s Eligible: Buyers and their agents who meet
Alabama state requirements and wish to purchase Salvage title at
any of our Alabama locations.
Fee: $10 per card
Available to Non-US Based Buyers: No
Utah:
License: Salvage Buyer Identification Card (BID Card)
How to Apply: Call Utah MVED (Motor Vehicle Enforcement
Division) at 801-297-2600 or click on http://mved.utah.gov/licenses/
salvage-buyer
Applies to: Utah based businesses and their agents who meet Utah
state requirements and wish to purchase Certificate of Sale,
Dismantling Permit, Junk Permit and Salvage Title at our Utah
locations.
Fee: $203 for licensing year.
Michigan:
License: Michigan SVA (Salvage Vehicle Agent) Card
How to Apply: Call Michigan Department of State at 888-767-6424
Applies to: Buyers and their agents who meet Michigan state
requirements and wish to purchase Salvage or Scrap title in our
Michigan locations. Buyers must obtain the wall license and the photo
ID card to be eligible to purchase these tiles at the Michigan salvage pools.
Fee: $50 for SVA ID Card; $160 for wall certificate. After July 1st,
wall certificate is prorated at $80. $49.25 for fingerprinting for non-MI
businesses; for in-state fingerprinting cost will vary by location.
*The SVA photograph must be taken at an authorized Michigan licensing
location. Fingerprinting must be done at a Michigan police station.
Available to Non-US Based Buyers: Yes
Wisconsin:
License: Wisconsin MV Business Individual Credential with BID
endorsement. How to Apply: Call Wisconsin DMV at
608-266-1425 or click on http://www.dot.wisconsin.gov/business/
dealers/forms/mv2651.pdf .
Applies to: Buyers and their agents who meet Wisconsin state
requirements and wish to purchase motor vehicles at any of our Wisconsin
locations.
Fee: In –State - $6, if dealer license expires less than one year; $12 if dealer
license expires over a year; Out-of-State/Out-of-Country - $6.
Available to Non-US Based Buyers: Yes, as long as the buyer meets the
Wisconsin state requirements
Nevada:
License: Nevada Business Identification Card (Bid Card)
How to Apply: Click on http://www.dmv.nv.gov/pdfforms/obl252.pdf or
call the Nevada DMV at 775-684-4690
Applies to: Nevada based businesses only that wish to purchase vehicles in
IAA’s Nevada’s locations. This license does not apply to non-Nevada
based businesses.
Fees: Original and duplicate dealer and rebuilder ID cards, $50;
renewal, $25. All wrecker ID cards, $50.
Teléfono Gratuito (México): 001.855.615.9401 | Fax: 001.630.382.5628 | E-mail: [email protected]
05.1.2015
14

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