GA, SD, WV
Multistate
PI-PLSP-AUSUPP 09/11 Page 1 of 2
COVER-PRO
SM
APPLICATION
AUCTIONEER SUPPLEMENT
1. Name of the Applicant Firm:
2. Provide the percentage of the Applicant’s gross annual revenue derived from the following types of auctions:
General merchandise: % Machinery & Equipment: %
Dwellings: % Liquidations: %
Farms: % Bankruptcy: %
Livestock: % Federal: %
Specialized: % State: %
Commercial buildings: % School: %
Automobile: % Lending Institution: %
Fine Arts / Jewelry: % Other Real Estate: %
Aircraft: %
TOTAL MUST EQUAL:
100 %
3. If the Applicant’s services are “specialized”, describe all such auctions in
cluding types of merchandise sold:
4. Do the Applic
ant’s contracts conform to the National Auctioneers Association standards? Yes No
5. Does the Applicant provide services other than those as an Auctioneer? Yes No
If yes, please list below.
Services Provided:
Gross Annual Revenue:
$
$
$
$
$
$
6. Does the Applicant ever conduct business via the internet other than e-mail bids? Yes No
If yes, what is the outside service used:
7. Does the Applicant adhere to state, city and county licensing, bond and/or permit requirements
for the locations in which it transacts business?
Yes
No
8. Does the Applicant currently have general liability coverage in place?
Yes No
