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Form #812Successor Addendum Questionnaire
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Questionnaire Submitted in Connection With Request for Execution of Successor Addendum - Free Legal Form
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Download This Form
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Printer Friendly Version
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Submissions to this site, including any legal or business forms, posts, responses
to questions or other communications by contributors are not intended as and should
not be construed as legal advice. You are strongly encouraged to consult competent
legal council before engaging in any action based upon content contained on this
site.
These downloadable forms are only for personal use. Retransmission, redistribution,
or any other commercial use is prohibited. This includes reposting forms from this
site to another site offering free legal or other document forms for download.
Please note that the donator may have included different usage terms regarding this
form, and you agree to abide by these terms. It is highly recommended that you have
a licensed attorney review any legal documents for which you are searching in order
to make sure that your needs are being properly and completely satisfied.
Your use of this site constitutes your acceptance of our terms of use and your
agreement to hold this site, its officers, employees and any contributors to this
site harmless for any damage you might incur from your use of any submissions contained
on this site. If you do not agree to the above terms, please do not proceed.
These forms are provided to assist business owners and others in understanding important
points to consider in different transactions. They are offered with the understanding
that no legal advice, accounting, or other professional service is being offered
by these documents or on this website. Laws vary in the different states. Agreements
acceptable in one state may not be enforced the same way under the laws of another
state. Also, agreements should relate specifically to the particular facts of each
situation. Therefore, it is important to consult legal counsel whenever utilizing
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is not engaged in recommending or referring members on the site or making claims
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Successor addendum
questionnaire.
Questionnaire
Submitted in Connection With Request for Execution of Successor Addendum
Name of Proposed Dealer Operator in Full
_________ Street Address _________ Home Phone No. _________ City _________
State _________ Business Phone No. _________ Date of Birth _________ Married or
Single _________ No. of Dependents _________ Dependent's names, ages and
relationship to proposed dealer operator _________
Education
of Proposed Dealer Operator
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Education
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Name
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Location
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Course
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No. of Years
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Year Graduated
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Grammar School
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.................................. Â
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.................................. Â
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.................................. Â
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.................................. Â
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.................................. Â
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High School
|
.................................. Â
|
.................................. Â
|
.................................. Â
|
.................................. Â
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.................................. Â
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College
|
.................................. Â
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.................................. Â
|
.................................. Â
|
 ................................. Â
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.................................. Â
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Business or Correspondence School
|
.................................. Â
|
.................................. Â
|
.................................. Â
|
.................................. Â
|
.................................. Â
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Remarks Regarding Education
|
.................................. Â
|
.................................. Â
|
.................................. Â
|
.................................. Â
|
.................................. Â
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Business Experience of
Proposed Dealer Operator
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Firm Name
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City & State
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Product
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From
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To
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Last Position
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|
.................................. Â
|
.................................. Â
|
.................................. Â
|
.................................. Â
|
 ................................. Â
|
.................................. Â
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Does the proposed dealer operator now own, operate, or
have a financial interest in, or ever previously owned, operated, or had a
financial interest in, any automobile and/or truck dealership? [] Yes [] No If
yes, please complete following details:
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Make of Car or Truck Handled
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Owned, Operated or Financial Interest
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From
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To
|
City & State
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Reason for Discontinuance
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|
.................................. Â
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.................................. Â
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.................................. Â
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.................................. Â
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 ................................. Â
|
.................................. Â
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State experience of proposed dealer
operator in management, new and used car and truck merchandising, service,
accounting, etc., at automobile and/or truck dealerships which Dealer believes
qualifies proposed dealer operator to operate and manage a Manufacturer
dealership. _________
Is the proposed dealer operator active in
a Dealer's business? [] Yes [] No If yes, how long? _________ years In what
capacities? _________
Has the proposed dealer operator ever
applied for another Manufacturer Dealer Agreement? _________ If so, state where
and when: _________
Has the proposed dealer operator ever
failed in business or compromised with creditors? [] Yes [] No If yes, when,
where and circumstances. _________
Has the proposed dealer operator any
outstanding liabilities as a result of previous failures? [] Yes [] No If yes,
give particulars. _________
General
Information
Personal references to be contacted regarding the
proposed dealer operator, other than employers, employees, or relatives:
|
Name in Full
|
Address
|
Occupation
|
Years Known
|
|
.................................................... Â
|
.................................................... Â
|
.................................................... Â
|
.................................................... Â
|
Has the proposed dealer operator ever been convicted
of a crime? [] Yes [] No If yes, state whether a misdemeanor or felony and give
date of conviction and full particulars. _________
Are any members of the proposed dealer operator's
immediate family in the employ of Manufacturer Corporation? [ ] Yes [] No If
yes, state full name of each and position presently held, name of Division and
location. _________
What assets or other resources will be available to
the proposed dealer operator for investment in a Manufacturer dealership? In
this connection, describe the nature of the assets and resources and the
amounts. _________
Is the proposed dealer operator now named in a
Successor Addendum to another Dealer Sales and Service Agreement with any
Division of Manufacturer? [] Yes [] No If yes, give name and address of the
Dealer operating under such other Dealer Sales and Service Agreement. _________
The undersigned represents that, to the best of its
knowledge, the information provided in this Questionnaire is true, accurate and
complete as of _________[Date].
_______________
Dealer Firm Name
_______________
City, State
By _________
Signature and Title
By _________
Signature and Title
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regading how we deal with your email. We pledge that we will:
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Terms Of Use
Submissions to this site, including any legal or business forms, posts, responses
to questions or other communications by contributors are not intended as and should
not be construed as legal advice. You are strongly encouraged to consult competent
legal council before engaging in any action based upon content contained on this
site.
These downloadable forms are only for personal use. Retransmission, redistribution,
or any other commercial use is prohibited. This includes reposting forms from this
site to another site offering free legal or other document forms for download.
Please note that the donator may have included different usage terms regarding this
form, and you agree to abide by these terms. It is highly recommended that you have
a licensed attorney review any legal documents for which you are searching in order
to make sure that your needs are being properly and completely satisfied.
Your use of this site constitutes your acceptance of our terms of use and your agreement
to hold this site, its officers, employees and any contributors to this site harmless
for any damage you might incur from your use of any submissions contained on this
site. If you do not agree to the above terms, please do not proceed.
These forms are provided to assist business owners and others in understanding important
points to consider in different transactions. They are offered with the understanding
that no legal advice, accounting, or other professional service is being offered
by these documents or on this website. Laws vary in the different states. Agreements
acceptable in one state may not be enforced the same way under the laws of another
state. Also, agreements should relate specifically to the particular facts of each
situation. Therefore, it is important to consult legal counsel whenever utilizing
these forms. The Forms are not a substitute for legal advice YourFreeLegalForms.com
is not engaged in recommending or referring members on the site or making claims
about the competence, character or qualifications of its participating members.
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