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Print Form WSM AUCTIONS www. wsmauctions. com 2701 Auto Mall Drive - Bakersfield CA 93313 Phone 661 829-6924 Fax 661 829-6928 VEHICLE CONSIGNMENT FORM Date Dealer Dealership Name Phone City Year/Make/Model VIN Vehicle Announcements PRICE Floor price is required on all units. Close within 300. 00. THE ABOVE CONSIGNOR STATES THAT THE ODOMETER OF THE VEHICLE DESCRIBED ABOVE NOW READS MILES no tenths TO THE BEST OF MY KNOWLEDGE THAT IT REFLECTS THE ACTUAL MILEAGE OF THE VEHICLE DESCRIBED BELOW UNLESS ONE OF THE FOLLOWING STATEMENTS IS CHECKED 1 OVER - I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THAT THE ODOMETER READING REFLECTS THE AMOUNT OF MILEAGE IN EXCESS OF ITS MECHANICAL LIMITS* 2 NOT ACTUAL - I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THAT THE ODOMETER READING IS NOT THE ACTUAL MILEAGE* 3 EXEMPT - THIS UNIT EXCEEDS 10 YEARS OF AGE AND WILL BE REPRESENTED WITH NO GUARANTEE ON MILEAGE OR ODOMETER HISTORY. WARNING ODOMETER DISCREPANCY MILES OVER ON A 6 DIGIT NUMBER WOULD BE ANYTHING OVER 999 999 ODOMETER MILEAGE STATEMENT Federal and State Law requires that you state the odometer mileage upon transfer of ownership* Any misrepresentation will render you liable for damages and attorney s fees and may render you liable for civil and criminal penalties pursuant to section 409 412 and 413 the Motor Vehicle Information and Cost Savings Act of 1972 Pub. L92-513 as amended by Pub. L* 94-364. Additional Announcements AS-IS SALVAGE TITLE SALVAGE CERTIFICATE FRAME DAMAGE FRAME REPAIR DEPLOYED AIR BAG BROKEN ODOMETER POLICE/TAXI VEHICLE THEFT RECOVERY GROSS POLLUTER ALTERED SUSPENSION BROKEN SPEEDOMETER LEMON LAW BUYBACK BRANDED TITLE JUNK TITLE FLOOD DAMAGE HAIL DAMAGE BUYBACK VEHICLE PRIOR RENTAL DEALER IS RESPONSIBLE FOR THE ACCURACY OF THIS VEHICLE CONSIGNMENT FORM AND ODOMETER STATEMENT. DEALER AGREES TO INDEMNIFY AND HOLD HARMLESS AUCTION FOR ANY DAMAGE CLAIM OR COURSE OF ACTION INCLUDING REASONABLE ATTORNEY S FEES AND COST INCURRED BY AUCTION AS A RESULT OF ANY MISREPRESENTATION FOR WHATEVER REASON* AUCTION ACCEPTS NO RESPONSIBILITY FOR THEFT LIABILITY OR PROPERTY DAMAGE* SIGNATURE GUARANTEE SALE DAY ONLY AS-IS NO WARRANTIES OR GUARANTEES IMPLIED OR OTHERWISE. Close within 300. 00. THE ABOVE CONSIGNOR STATES THAT THE ODOMETER OF THE VEHICLE DESCRIBED ABOVE NOW READS MILES no tenths TO THE BEST OF MY KNOWLEDGE THAT IT REFLECTS THE ACTUAL MILEAGE OF THE VEHICLE DESCRIBED BELOW UNLESS ONE OF THE FOLLOWING STATEMENTS IS CHECKED 1 OVER - I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THAT THE ODOMETER READING REFLECTS THE AMOUNT OF MILEAGE IN EXCESS OF ITS MECHANICAL LIMITS* 2 NOT ACTUAL - I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THAT THE ODOMETER READING IS NOT THE ACTUAL MILEAGE* 3 EXEMPT - THIS UNIT EXCEEDS 10 YEARS OF AGE AND WILL BE REPRESENTED WITH NO GUARANTEE ON MILEAGE OR ODOMETER HISTORY. WARNING ODOMETER DISCREPANCY MILES OVER ON A 6 DIGIT NUMBER WOULD BE ANYTHING OVER 999 999 ODOMETER MILEAGE STATEMENT Federal and State Law requires that you state the odometer mileage upon transfer of ownership* Any misrepresentation will render you liable for damages and attorney s fees and may render you liable for civil and criminal penalties pursuant to section 409 412 and 413 the Motor Vehicle Information and Cost Savings Act of 1972 Pub.

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