Logo
COPART
Auto Auctions
  COPART USE ONLY
Bidder #___________
Date:______________
By:________________

BIDDER REGISTRATION FORM

                                               Phone #___________________
Co. Name______________________________________ Fax #_____________________
Address_____________________________ City_________________ Zip___________
Mail Address________________________ City_________________ Zip___________
Owners Name_________________________ Drivers  Lic.#_____________ State___
Resale #____________________________ Business Lic.#______________________
Federal Tax I.D.# or Social Security #___________________________________

ONE OF THE FOLLOWING LICENSES (ATTACH COPY): Automotive Repair Lic#___________________ Dealers Lic. #_________________ Dismantler Lic.#____________________ Bid Card #/State____________________ Other Lic.#______________________________________________________________

ADDITIONAL BIDDER INFORMATION: Bidder:_____________________________ Drivers Lic.#______________ State___ Social Security#____________________ I.D. Card YES __ NO __ THE UNDERSIGNED, AS PRESIDENT, OWNER OR PARTNER OF THE ABOVE NAMED BUSINESS, CERTIFIES that the business is an AUTOMOTIVE DEALER, DISMANTLER or AUTOMOTIVE REPAIR related business. I realize that I am responsible for each sealed or live auction bid submitted by the bidder I have authorized either verbally or in writing. I further acknowledge that I am responsible for any buyer's, storage, late or re-list fees on vehicles awarded to my company. All fees are applicable at each location on a per-vehicle basis. Prices may vary at each location and are subject to change without notice. I acknowledge that all vehicles are sold "as is", without warranty as to description, damage or title.

I understand that all vehicles not paid for within 12 days from the day of the sale will be RELISTED and I agree to pay a RELIST FEE OF $200.00 OR 10% OF THE BID, whichever is greater, per vehicle, and any costs of collection, including court costs and reasonable attorney's fees. I understand that before I will be allowed to bid at any sale, ALL OUTSTANDING FEES MUST BE PAID. I have received a copy of and agree to abide by the terms of the COPART BUYER HANDBOOK. I agree to notify COPART in writing of any change in the above information. All charges quoted on this form are subject to change.

Acknowledged By Owner/President/Partner & Additional Buyer:

_____________________________________________________________________________________ Signature Print name Title Date

Additional Bidder

_____________________________________________________________________________________ Signature Print name Title Date

(PLEASE COMPLETE OTHER SIDE)