BUYER REGISTRATION FORM

Foreign Public Buyer

1 BUYER INFORMATION
This registration will allow you to bid at all facilities open to the public.

GENERAL INFORMATION

First Name: M.I.: Last Name:

Date of Birth: M. D. Y.

Street Address:
City: State: Zip: Country:

Phone: Fax: Cell:

MAILING ADDRESS (if different)

Street Address or PO Box:

City: State: Zip: Country:

GOVERNMENT ISSUED PHOTO ID WITH SIGNATURE (photocopy required)

Number: State or Country: Expiration Date:

__

2 AUCTION CENTER LOGIN I.D.

This section needs to be completed if you wish to receive a password to access the Auction Center and to bid online (either proxy or live)
AUCTION CENTER LOGIN I.D. YES NO

Email Address (required if YES is selected for “Auction Center Login I.D.”)

3 The undersigned registered buyer has read and agrees to be bound by the policies, terms, conditions and
information set forth in the Insurance Auto Auctions “Auction Rules” and the “Terms of Use” for the IAA Website and acknowledges that
compliance with same is a condition to remaining a buyer in good standing with Insurance Auto Auctions.

I have reviewed, understand and agree to the buying limitations as a Public Buyer

Signature of Account Owner: Date:

Please submit completed and signed form, along with $200 payment and copy of I.D., to your local IAA Branch or email or fax
to
Buyer Services.
Insurance Auto Auctions | ATTN: Buyer Services | Two Westbrook Corporate Center Suite 500 | Westchester, IL
05.01.2015 60154
E-mail:
cservice@iaai.com | Fax: 630-382-5628 1
 ROUTED EXPORT AGREEMENT
I, , (undersigned) hereby agree to the
following conditions concerning the export of vehicles acquired from Insurance Auto
Auctions, Inc. (“IAA”) auction facilities. Unless expressly agreed to otherwise
in writing with respect to a particular vehicle purchase, any and all export
transactions involving such purchases shall be “routed export
transactions,” in which the undersigned is acting as the Foreign Principal Party in
Interest ("FPPI"). As the FPPI, the undersigned will authorize a U.S. forwarding agent
to facilitate the export of such vehicles from the United States and prepare and file any
required Electronic Export Information (“EEI”). IAA shall release the vehicles
purchased by the undersigned FPPI through the IAA auction facilities to the FPPI's U.S.
Forwarding Agent in the United States.

The undersigned FPPI agrees that neither IAA nor the providers who sell
vehicles through the IAA auction facilities will be the exporter under the Export
Administration Regulations (“EAR”) in such routed export transactions. The FPPI also
acknowledges that vehicles purchased through the IAA auction facilities could,
potentially, be subject to export licensing requirements. By signing this letter, the
FPPI agrees to undertake, with respect to vehicles purchased through the IAA auction
facilities, the following responsibilities: (1) to determine any applicable export
license requirements; (2) to obtain any required export license and/or any other
required export authorization; (3) to carry out any customs formalities for the
export of the vehicles; and (4) to authorize the U.S. Forwarding Agent, who will be the
exporter for EAR purposes, to act on behalf of the FPPI in connection with the
exportation of such vehicles and to prepare and file the EEI and any required export
license applications.

ACKNOWLEDGED AND AGREED:

(TYPE FPPI NAME)

By:
(Print Name of Registered Owner) (Signature of Registered Owner)

(IAA Buyer No.) (Country) (Date)

Please have the registered owner of your company sign this letter to indicate the FPPI’s
acknowledgment of and agreement to the above terms, and return a signed copy of this
agreement to the IAA contact below. Future releases of IAA vehicles purchased by the FPPI to
the FPPI’s U.S. Forwarding Agent are contingent upon receipt of this signed agreement.

Please submit the completed and signed form to your local IAA Branch or email or fax to Buyer Services.
Insurance Auto Auctions | ATTN: Buyer Services | Two Westbrook Corporate Center Suite 500 | Westchester, IL
60154
E-mail: cservice@iaai.com | Fax: 630-382-5628

05.01.2015 2
 POWER OF ATTORNEY
FOR TITLE SIGNING AND FORWARDING

1 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
Regular Mail to U.S. address below (IAA is not responsible if lost or stolen)
(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#:
Buyer's FedEx Account#: IAA FedEx ($12 must be paid first before title can be
IAA FedEx ($12 must be paid first before title can be shipped via FedEx)
shipped via FedEx)

3 Company/Individual Name:

Address:

City: State: Zip:

Phone: Email:

4 Signature of Account Owner Buyer Number Date

Please submit the completed and signed form to your local IAA Branch or email or fax to Buyer Services.
Insurance Auto Auctions | ATTN: Buyer Services | Two Westbrook Corporate Center Suite 500 | Westchester, IL
60154
E-mail: cservice@iaai.com | Fax: 630-382-5628
05.01.2015 3