Fillable Garage Supplemental Application

Fill Online, Printable, Fillable, Blank Garage Supplemental Application Form

Use Fill to complete blank online ALL RISKS, LTD pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Garage Supplemental Application

On average this form takes 52 minutes to complete

The Garage Supplemental Application form is 4 pages long and contains:

  • 2 signatures
  • 15 check-boxes
  • 193 other fields

Country of origin: US
File type: PDF

Use our library of forms to quickly fill and sign your All Risks, Ltd forms online.

BROWSE ALL RISKS, LTD FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
All Risks, Ltd. – National Specialty Programs
2555 Kingston Road, Suite 250 | York, PA 17402
Toll Free: 800-723-1022 | Phone: 717-600-0417 | Fax: 717-441-3784
www.allrisks.com
Contact us at programs@allrisks.com
Garage Supplemental 10.16 Page 1 of 4
SUPPLEMENTAL GARAGE APPLICATION
PLEASE COMPLETE ONLY APPLICABLE SECTIONS
Auto wholesaler (Includes Auto Broker) is one who buys or sells used Autos to or from retail dealers or Auctions.
Wholesalers do not sell directly to public.
Name of Applicant (include DBA):
Auctions
____ %
Internet Sales %
From a Sales Lot ____ %
Phone Sales
____ %
2. Do you sell autos to the public? If yes, explain: _____________________________________________________________
___________________________________________________________________________________________________
If no, describe method of delivery
8. If coverage for inventory is requested, where are the vehicles stored?
9. Who inspects vehicles to assure they are road worthy?
TIRE SALES/SERVICE INFORMATION
1. What percentage of your operations are tire sales? ____%
Type
% New
% Used
Type
% New
% Used
Private Passenger
Buses
Motorcycle/ATV
Other Equipment
Heavy Trucks (over 30,000 GVW)
Other, describe below
Other: ________________________________________________________________________________________
Please describe your quality assurance precautions to endure tires are properly installed and inflated:
___________________________________________________________________________________________________
________________________________________________________________________ ___________________________
3. Are titles obtained when vehicles are purchased and transferred and when vehicles are sold?
Yes No
6. Does your auto dealer customer arrange for pick
up and delivery of autos you have purchased for them? Yes No
5. Do you have personal auto insurance?
Yes No
4. Do you work out of your home?
Yes No
7. Who do you sell vehicles t
o:
Auctions Retail Dealers
Other
(Explain)
2.
3.
4.
Do you sell or service recaps or retreads? Yes No
If yes, explain: _______________________________________________________________________________________
Do you sell tires that were manufactured more than 5 years ago?
Yes No
If yes, explain: _______________________________________________________________________________________
Do you service or sell vulcanized tires?
Yes No
If yes, explain: _______________________________________________________________________________________
If yes, provide percent of sales to total tire sales: ___ %
Yes No
5. Do you service or sell re-grooved or siped tires?
If yes, provide percent of sales to total tire sales: ___ %
6. Do you repair or fix flat tires for heavy trucks?
Yes No
If yes, do you use a safety cage when working with split rim or locking ring wheels?
Yes No
7. Are you a mobile operation?
Yes No
WHOLESALE DEALER INFORMATION
1. Please provide percentage from where the sale of autos takes place?
*To save this form after the fields are filled in, you will need Adobe Reader 9 or later. If you do not have version 9 or later,
please download the free tool at: http://get.adobe.com/reader/.
8. How do you dispose of old tires? ________________________________________________________________________
How often? ______________________
9. Where/how are old tires stored prior to disposal?__________________________________________________________
HEAVY TRUCK SECTION
If yes, details ________________________________________________________________________________________
Please describe your quality assurance precautions to endure tires are properly installed and inflated:
___________________________________________________________________________________________________
___________________________________________________________________________________________________
If yes, details ___________________________________________________________________________________________
If yes, what type? ________________________________________________________________________________________
_______________________________________________________________________________________________________
8. Locations where you conduct operations:
__ At your premises ___ %
__ At customer’s premises ___ %
__ Roadside ___ %
MOTORCYCLE SALES/REPAIR SECTION
1. Types of Units Being Sold/Repaired
Motorcycles ___ % Go Karts ___ % Jet Skis/Watercraft ___ %
ATV’s/UTV’s ___ % Dirt Bikes ___ % Mopeds/Scooters ___ %
Trikes ___ % Other % Describe: ______________________________________
____________________________________
Garage Supplemental 10.16
Page 2 of 4
If not, describe how units are protected: _______________________________________________________________
1. Is any Fifth Wheel Installation/Repair work done? Yes No
2. Is any framework done? Yes No
Any cutting or stretching? Yes No
Is a machine used? Yes No
3. Do you repair or fix flat tires for heavy trucks? Yes No
If yes, do you use a safety cage when working with split rim or locking ring wheels? Yes No
4. Is work done on tanker trailers? Yes No
5. Is there trailer repair to box or cargo trailers? Yes No
6. Is there transmission work (including clutch and differential work? Yes No
7. Is there welding work? Yes No
9. Do you pick up or deliver customer autos? Yes No
11. Do all drivers have a CDL? Yes No
10. Does the owner have a CDL (Commercial Drivers License)? Yes No
2. Are inventory and customer units stored inside? Yes No
Yes
If yes, what percentage? ____%
Provide details of work done ___________________________________________________________________________
If yes, provide details _________________________________________________________________________________
___________________________________________________________________________________________________
If yes, provide details _________________________________________________________________________________
___________________________________________________________________________________________________
Gross Receipts from uninstalled parts/accessories sales $____________
RECREATIONAL VEHICLE SALES/SERVICE SECTION
If yes, now many vehicles are stored at any one time _________
A copy of the agreement must be submitted for review. It should require the customer to maintain insurance.
Garage Supplemental 10.16 Page 3 of 4
Gross Receipts from uninstalled parts/accessories sales $____________
Yes No
No
3. Do you permit off premises customer test drives?
If yes, are they: Accompanied Unaccompanied
Is proof of motorcycle license and auto insurance checked prior to all test drives?
4. Do you perform any customization or fabrication? Yes No
If yes, what percentage? ____ %
Provide details of work done __________________________________________________________________________
5. Do you perform structural alterations (Fork or Frame)? Yes No
If yes, what percentage? ____ %
Provide details of work done __________________________________________________________________________
6. Do you convert bikes to trikes or do any Kit Assembly? Yes No
If yes, what percentage? ____ %
Provide details of work done and manufacturer of kits if any:__________________________________________________
7. Do you manufacture bikes or bike parts? Yes No
8. Do you alter the original performance of manufacturer specifications? Yes No
9. Are any accessories or parts sold but not installed? Yes No
10. Do you sponsor events (rallies, rides, shows, etc.)? Yes
11. Do you lease, loan or rent any units? Yes
12. Do you conduct any driver training or education classes? Yes
13. Are any units furnished for personal use? Yes
1. Do you rent RV’s to others? Yes
2. Do you rent RV storage space to others? Yes
Is a written storage agreement used? Yes
Yes
No
No
No
No
No
No
No
No 3. Do you do any Liquefied Petroleum (LPG) filling?
(Exchange only is acceptable with proper storage of tanks)
4. Do you install or repair appliances or heating systems? Yes No
If yes, what are employee qualifications? _________________________________________________________________
5. Do you sell uninstalled parts/accessories? Yes No
Garage Supplemental 10.16
Page 4 of 4
FINANCING PROCEDURES:
3. Name and title of staff member arranging financing:
4. Experience of staff member arranging financing:
VERIFICATION PROCEDURES USED FOR ODOMETER/DAMAGE DISCLOSURE:
Carfax or similar industry report on all autos
Title search on all autos
Vehicle inspection on all vehicles by:
In-house mechanic
Independently insured mechanic (Certificate of Insurance must be on file)
Describe procedures if prior damage or salvage title is discovered:
DISCLOSURE PREOCEDURES USED
AUTO TITLING
1. Staff member responsible for DMV paperwork:
2. Experience of staff member:
3. Describe procedure for verification that titles and liens are filed accurately:
APPLICANT'S SIGNATURE: DATE:
PRODUCER'S SIGNATURE: DATE:
LICENSED AGENT: DATE:
(Applicable in Iowa only)
AGENT NAME: AGENT LICENSE NUMBER:
(Applicable in Florida Agents only)
1. Do you follow Federal, State and Local Truth-in-Lending statutes? Yes No
2. Is the auto’s title transferred into the customer’s name at time of possession?
Yes No
In-House
Percent of sales ____________%
Dealer Arranges Financing with Outside Firm
Percent of sales ____________%
5. Do you have in-house approval authority?
Yes No
7. Do
you require final approval prior to releasing the auto?
Yes No
6. Do
you follow Federal, State and Local Truth-in-Lending statues?
Yes No
Customer Arranges Own Financing
Percent of sales ____________%
Checklist
Customer written acknowledgement
Other:
ERRORS OR OMMISSIONS
click to sign
signature
click to edit
click to sign
signature
click to edit
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Garage Supplemental Application

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 2 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document