CUSTOMER NAME:
DEALER NAME: Phone # 912-692-0008
GPS
Fax# 912-355-2270
GPS INSTALLATION Approval Sheet Showing Customers Name
Barnett Form
Original Retail Installment Contract Original Co-Signer Agreement
Barnett Form
Buyers Order Signed by Customer & Dealer Used Car Book out Sheet Odometer Statement Properly Completed and Signed Original Credit Application Original Credit Report For Buyer & Co-Buyer Complete Pers.Ref.(w/relatives) Minimum of Six
Barnett Form
Copy of Driver(s) License From State Residing In (both borrowers) Proof of ALL Income (NO MORE THAN 30 DAYS OLD) Proof of Residence For Buyer & Co-Buyer Proof of Home Phone, If Cell Provide Complete Phone bill & 2nd Contact Number NO PREPAID CELL PHONES Agreement to Provide Full Coverage Insurance Copy of Title Application Showing Barnett Finance Company as Lien Holder Copy of TITLE Signed Barnett Disclosure Agreement
Barnett Form
Signed Guarantee of title & Dealer rep. Letter(must be signed by dealer)
Barnett Form
SIGNED BARNETT ARBITRATION AGREEMENT
Barnett Form
Copy of DOWN PAYMENT RECEIPT (must be paid in full) Warranty Information. IF SOLD AS IS, COPY OF AS IS FORM GAP Information IF SOLD Good Will Service Agreement Duplicate Key Signed Employment Verification Form(s) one for each Job
Barnett Form
Barnett Assignment
Barnett Form
Damage Disclosure (NC DEALERS ONLY) Barnett Power of Attorney
Please Insure the accuracy of the following numbers
LANDLORD/ MORTGAGE NAME & Phone # INSURANCE COMPANY NAME & Phone# EMPLOYER(S) Phone# EMPLOYER(S) Phone# NOTES:
Barnett Form
NOTICE TO CO-SIGNER
You are being asked to guarantee this debt. Think carefully before you do. If the borrower does not pay the debt, you will have to. Be sure you can afford to pay if you have to, and that you want to accept this responsibility. You may have to pay up to the full amount of the debt if the borrower does not pay. You may also have to pay late fees or collection costs, which increase this amount. The creditor can collect this debt from you without first trying to collect from the borrower. The creditor can use the same collection methods against you that can be used against the borrower, such as suing you, garnishing your wages, etc. If this debt is ever in default, that fact may become part of your credit record. This notice is not the contract that makes you liable for the debt. The undersigned acknowledges receipt of the above “Notice to Co-signer” prior to becoming obligated as a co-signer, this_________ day of ___________________, year_________.
Signature_________________________________
Rev. 6.6.2007
Next door neighbor:
Next door neighbor:
Name:______________________________ Address:____________________________ City:_______________________________ State: __________ Zip code:___________ Phone: ______________Cell:____________
Name:__________________________ Address:________________________ City:___________________________ State: _________Zip code:____________ Phone: ______________Cell:____________
Relative: Relation:___________________ Name:______________________________ Address:____________________________ City:________________________________ State: __________ Zip code:____________ Phone: ______________Cell:____________
Relative: Relation:___________________ Name:______________________________ Address:____________________________ City:________________________________ State: __________ Zip code:____________ Phone: ______________Cell:____________
Relative: Relation:___________________ Name:______________________________ Address:____________________________ City:________________________________ State: __________ Zip code:____________ Phone: ______________Cell:____________
Relative: Relation:___________________ Name:______________________________ Address:____________________________ City:________________________________ State: __________ Zip code:____________ Phone: ______________Cell:____________
Relative: Relation:___________________ Name:______________________________ Address:____________________________ City:________________________________ State: __________ Zip code:____________ Phone: ______________Cell:____________
Relative: Relation:___________________ Name:______________________________ Address:____________________________ City:________________________________ State: __________ Zip code:____________ Phone: ______________Cell:____________
Relative: Relation:___________________ Name:______________________________ Address:____________________________ City:________________________________ State: __________ Zip code:____________ Phone: ______________Cell:____________
Relative: Relation:___________________ Name:______________________________ Address:____________________________ City:________________________________ State: __________ Zip code:____________ Phone: ______________Cell:____________
Rev 6.6.07
DISCLOSURE OF DISCOUNT BUYER REPRESENTATION OF CASH PRICE BUYER STATEMENT OF VOLUNTARY PURCHASE ADDENDUM TO “CONSUMER CREDIT INSTALLMENT SALE CONTRACT” and “DISCLOSURE STATEMENT PROMISSORY NOTE AND SECURITY AGREEMENT”
Buyer:____________________________________
Co- Buyer: _______________________________
Creditor (Seller): ______________________________________________________________________ Retail Installment Contract Dated: _______________________ I am entering into the Retail Installment Contract referenced above (“The Retail Installment Contract”) in connection with the purchase of a vehicle from the Seller named above. I affirm and represent that the following statements concerning the purchase of this vehicle as described in the Retail Installment Contract are true: ____ 1 I have been given the opportunity to read the Retail Installment Contract, completely filled in, and to ask any questions I have concerning the contract or this document. ____ 2 I confirm that the cash price of the vehicle is as stated in the Retail Installment Contract. I represent that I was not quoted a lower cash price for the automobile and that the cash price was not increased because I would be purchasing the automobile on credit. I represent that the consideration charged is a fair and reasonable price for the vehicle. ____ 3 I understand that the seller has the option and the right to sell and assign my Retail Installment Contract to Barnett Finance Company for a discounted amount. I understand that this means that Barnett Finance Company may purchase my Retail Installment Contract from the Seller for an amount, which is less than the amount of credit provided to me or on my behalf of the Seller. I further understand that the sale and assignment of my Retail Installment Contract at a discount will not relieve me of any obligations under the Retail Installment Contract nor will it alter any of those obligations except as to the place where payment is to be made. ____ 4 I understand that I am not required as a condition to the extension of credit to purchase credit insurance, service or warranty contract, motor clubs, GAP protection, or other ancillary products which may be shown on the Retail Installment Contract. If the Retail Installment Contract contains charges for any such products, I have voluntarily agreed to buy them and I understand that I am paying retail price for them and that the Seller or others may profit from their sale. ____ 5 I understand and agree that if payments are past due that Barnett Finance Company has the option and right to repossess my vehicle at any time with out prior notification. I recognize and agree that wholesale or dealer only auctions are a usual manner of sale of repossessed motor vehicles and that such sale is in conformity with the reasonable commercial practices among dealers in repossessed motor vehicles. I agree that disposition of collateral at regularly held public auctions, private dealer-only auctions or other regularly held restricted-entry auctions for goods of the kind is a commercially reasonable manner of disposition, but recognize and agree that sale or disposition may be by other means, public or private ate your discretion, as permitted by the UCC or other applicable law. Further, if prior notice to me of a sale or intended disposition of the collateral is required, then I agree that such notice in the statutorily suggested form and sent by regular first class mail, registered mail or certified mail to my address as listed on this document or, if I have provided you with an authenticated change of address , to the last authenticated change of address you received prior to the notification date, shall be commercially reasonable notice if sent ten (10) days prior to disposition. I recognize and agree that the sale or disposition of collateral made with such disclaimer of warranties as is permitted by the UCC or other applicable law is commercially reasonable. ____ 6 I understand and agree that Barnett Finance Company may have a collection and/or recovery device installed on the vehicle I have purchased and that the device must remain on the vehicle until my contract is paid in full. I also understand and agree that when my contract is paid in full that Barnett Finance Company is responsible for the costs of the removal of the payment protection device. In addition I agree to assist Barnett Finance in the removal and return of this device or pay $300.00 for the device.
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____ 7 I understand and agree that I have thoroughly inspected and I am fully satisfied with the vehicle. I also understand and agree that Barnett Finance Company is not responsible for any repairs, maintenance, taxes or additional liens placed on the title to the vehicle. ____ 8 I understand and agree to make the first payment no later than five (5) days past my due date. I further understand and agree that if payment is not made on time my account will be considered in default and transferred to the collections with repossession orders. ____ 9 I understand and agree that I am required to have full coverage insurance on my vehicle at all times. I agree that Barnett Finance Company, P.O. Box 15906, Savannah, Ga 31416 will be listed as the lien holder and that the comprehensive and collision deductibles will not be more than $500.00 each. Failure to do so may result repossession of the vehicle. ____ 10 I understand and agree that Barnett Finance Company or an authorized agent may contact my employer for the purpose of confirming my employment status, location or for assisting in collecting in the event I default on the above mentioned contract that I have signed. ____ 11 I acknowledge that I have received and read this document before signing the Retail Installment Contract and that this document and Retail Installment Contract has been completely filled in before I signed them. ____ 12 I understand and agree that is it mandatory to report to Barnett Finance Company Inc. any and all changes pertaining to phone numbers, address, jobs, insurance and neglect to do so could result in default of contract.
Date: ___________________________________ Buyer:
_____________________________________ Co-Buyer:__________________________________
Witness:
____________________________________
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BARNETT FINANCE COMPANY Phone 912-695-0008 or 912-692-0008 GUARANTEE OF TITLE & DEALER REPRESENTATION LETTER
Purchaser Name(s) (s) ______________________________________________________ Address: Vehicle
City: __________ Year
________________ Make
State:
Zip:
_____________________ Model
Mileage
Vin #: UNCONDITIONAL GUARANTEE In consideration of the purchase of the above references contract, notwithstanding the terms of the Assignment of the above Deal with Barnett Finance Company Inc.to which this purchase is related, the undersigned unconditionally guarantees payment to Barnett Finance Company Inc.of the full amount remaining unpaid under the contract and agrees to purchase the contract upon demand by Barnett Finance Company Inc. whether or not the contract shall be in default, in the event that the undersigned failed for any reason to secure a perfected first priority lien interest and title in the financed vehicle in favor of Barnett Finance Company Inc. Title work must be processed with appropriated government agency (i.e. DMV) no later than 20 days after contract date. THIS GUARANTEE OF TITLE REMAINS IN EFFECT UNTIL TITLE IS RECEIVED AND IS SUBJECT TO PAYOFF UPON REQUEST. Dealer hereby represents and warrants that the down payment as shown on the contract has been collected in full as of the date of assignment of said contract to Barnett Finance Company Inc. Dealer warrants that no portion of the down payment is still owed Dealer, including, but not limited to hold checks, side notes or an NSF check even if collected through a guaranteed check service (i.e. Telechek). Any and all NSF checks utilized with a guaranteed check service will be considered 1st and 2nd payment recourse. Dealer further warrants that no portion of the down payment was a rebate of any type or supplied by Dealer in any way, unless so disclosed on credit application and below. Dealer hereby represents and warrants that the sale price of the motor vehicle was the lowest price quoted to purchaser and that said price includes no charges including, but not limited to Discount, which are not imposed on purchasers whose contract is not sold to Barnett Finance Company Inc. Dealer represents and warrants that said contract and related sale transaction comply with all terms of Federal and State laws. Dealer agrees they will in no way remove, disable, provide information to or refer any Barnett Finance Company Inc. customer to anyone who will attempt to remove the GPS unit. Dealer has in fact informed customer both verbally and in writing that if a payment is not made as agreed they will not be able to start their car due to the GPS device. IF DOWN PAYMENT HAS NOT BEEN COLLECTED IN FULL THIS DEAL WILL BE FULL RECOURSE THIS INCLUDES HOLD CHECKS AND PAYMENT FROM GUARANTEED CHECK SERVICES, (i.e. TELECHEKS) AS STATED ABOVE. Lien Information will be recorded as: Barnett Finance Company Inc. P.O. Box 15906 Savannah, GA 31416
Dealership
Date:
Manufacturers Rebate Amount: Dealer Rebate:
Dealer Authorized Signature
Rev. 6.6.2007
Printed Name
Title
Date
ADDENDUM TO RETAIL INSTALLMENT CONTRACT ARBITRATION AGREEMENT
In this Amendment to Retail Installment Contract – Arbitration Agreement, the term “you” refers to the buyer or buyers who sign below. The terms “we,” “us” and “our” refer to the seller, who signs below and the assignee of any such person. By agreeing to arbitrate, you and we give up some rights, including the right to go to court and the right to a jury trial. By signing this agreement, you acknowledge and agree that any and all loans originated by Barnett Finance Company Inc are covered under this agreement. WAIVER OF JURY TRIAL AND ARBITRATION PROVISION: Arbitration is a process in which persons with a dispute (a) waive their rights to file a lawsuit and proceed in court and to have a jury trial to resolve their disputes; and (b) agree, instead, to submit their disputes to a neutral third person (an “arbitrator) for a decision. Each party to the dispute has an opportunity to present some evidence to the arbitrator. Pre-arbitration discovery may be limited. Arbitration proceedings are private and less formal than court trials. The arbitrator will issue a final and binding decision resolving the dispute, which may be enforced as a court judgment. A court rarely overturns an arbitrator’s decision. THEREFORE, YOU ACKNOWLEDGE AND AGREE AS FOLLOWS: 1, For purposes of this Waiver of Jury Trial and Arbitration Provision (hereinafter the “Arbitration Provision”), the words “dispute” and “disputes” are given the broadest possible meaning and include, without limitation (a) all claims, disputes, or controversies arising from or relating directly or indirectly to the signing of this Arbitration Provision, the validity and scope of this Arbitration Provision and any claim or attempt to set aside this Arbitration Provision; (b) all federal or state law claims, disputes or controversies, arising from or relating directly or indirectly to this Written Disclosure Ticket (including the Arbitration Provision), the information you gave us before entering into this Written Disclosure Ticket, any past agreement or agreements between you and us and/or any extension or continuation of this Written Disclosure Ticket pursuant to O.C.G.A. §44-12-130 et seq.; (c) all counterclaims, cross-claims and third party claims; (d) all common law claims, based upon contract, tort, fraud or other intentional torts; (e) all claims based upon a violation of any state or federal constitution, statute or regulation; (f) all claims asserted by us against you, including claims for money damages to collect any sum we claim you owe us; (g) all claims asserted by you individually against us and/or any of our employees, agents, directors, officers, shareholders, governors, managers, members, parent company or affiliated entities (hereinafter collectively referred to as “related third parties”), including claims for money damages and/or equitable or injunctive relief; (h) all claims asserted on your behalf by another person; (i) all claims asserted by you as a private attorney general, as a representative and member of a class of persons, or in any other representative capacity, against us and/or related third parties (hereinafter referred to as “Representative Claims); and/or (f) all claims arising from or relating directly or indirectly to the disclosure by us or related third parties of any non-public personal information about you. 2. You acknowledge and agree that by entering into this Arbitration Provision: a. YOU ARE WAIVING YOUR RIGHT TO HAVE A TRIAL BY JURY TO RESOLVE ANY DISPUTE ALLEGED AGAINST US OR RELATED THIRD PARTIES: b. YOU ARE WAIVING YOUR RIGHT TO HAVE A COURT OTHER THAN A SMALL CLAIMS TRIBUNAL, RESOLVE ANY DISPUTE ALLEGED AGAINST US OR RELATED THIRD PARTIES, AND c. YOU ARE WAIVING YOUR RIGHT TO SERVE AS A REPRESENTATIVE, AS A PRIVATE ATTORNEY GENERAL, OR IN ANY OTHER REPRESENTATIVE CAPACITY, AND/OR TO PARTICIPATE AS A MEMBER OF A CLASS OF CLAIMANTS, IN ANY LAWSUIT FILED AGAINST US AND/OR RELATED THIRD PARTIES. 3. Except as provided in Paragraph 6 below, all disputes including any Representative Claims against us and/or related third parties shall be resolved by binding arbitration only on an individual basis with you. THEREFORE, THE ARBITRATOR SHALL NOT CONDUCT CLASS ARBITRATION; THAT IS, THE ARBITRATOR SHALL NOT ALLOW YOU TO SERVE AS A REPRESENTATIVE, AS A PRIVATE ATTORNEY GENERAL, OR IN ANY OTHER REPRESENTATIVE CAPACITY FOR OTHERS IN THE ARBITRATION. 4. Any party to a dispute, including related third parties, may send the other party written notice by certified mail return receipt requested of their intent to arbitrate and setting forth the subject of the dispute along with the relief requested even if a lawsuit has been filed. Regardless of who demands arbitration, you shall have the right to select either of the following arbitration organizations to administer the arbitration: the American Arbitration Association (1-800-778-7879), http://www.adr.org or National Arbitration Forum (1-800-474-2371) http://www.arbforum.com. However, the parties may agree to select a local arbitrator who is an attorney retired judge, or arbitrator registered and in good standing with an arbitration association and arbitrate pursuant to such arbitrator’s rules. The party receiving notice of arbitration will respond in writing by certified mail return receipt requested, within twenty (20) days. If you demand arbitration, you must inform us in your demand of the arbitration organization you have selected or whether you desire to select a local arbitrator. If related third parties or we demand arbitration, you must notify us within twenty (20) days in writing by certified mail return receipt requested of your decision to select an arbitration organization or your desire to select a local arbitrator. If you fail to notify us, then we have the right to select an arbitration organization. The parties to such dispute will be governed by the rules and procedures of such arbitration organization applicable to consumer disputes, to the extent those rules and procedures do not
Rev 6.6.2007
Page 1 of 2
Buyers Intial ____________ Co-Buyer Intial _____________
5.
6.
7.
8.
contradict the express terms of this Written Disclosure Ticket or the Arbitration Provision, including the limitations on the arbitrator below. You may obtain a copy of the rules and procedures by contacting the arbitration organization listed above. Regardless of who demands arbitration, we will advance your portion of the expenses associated with the arbitration, including the filing, administrative, hearing and arbitrator’s fees (“Arbitration Fees”). Throughout the arbitration, each party shall bear his or her own attorneys’ fees and expenses, such as witness and expert witness fees. The arbitrator shall apply applicable substantive law consistent with the FAA and applicable statutes of limitation and shall honor claims of privilege recognized at law. The arbitration hearing will be conducted in the county of your residence, or within 30 miles from such county, or in the county in which the transaction under this Written Disclosure Ticket occurred or in such other place as shall be ordered by the arbitrator. The arbitrator may decide, with or without a hearing, any motion that is substantially similar to a motion to dismiss for failure to state a claim or a motion for summary judgment. In conducting the arbitration proceeding, the arbitrator shall not apply any federal or state rules of civil procedure or evidence. If allowed by statute or applicable law, the arbitrator may award statutory damages and/or reasonable attorneys’ fees and expenses. If the arbitrator renders a decision or an award in your favor resolving the dispute, then you will not be responsible for reimbursing us for your portion of the Arbitration Fees, and we will reimburse you for any Arbitration Fees you have previously paid. If the arbitrator does not render a decision or an award in your favor resolving the dispute, then the arbitrator shall require you to reimburse us for the Arbitration Fees we have advanced, not to exceed the Arbitration Fees you have previously paid. At the timely request of any party, the arbitrator shall provide a written explanation for the award. The Arbitrator’s award may be filed with any court having jurisdiction. All parties including related third parties shall retain the right to seek adjudication in a small claims tribunal for disputes within the scope of such tribunal’s jurisdiction. Any dispute, which cannot be adjudicated within the jurisdiction of a small claims tribunal, shall be resolved by binding arbitration. Any appeal of a judgment from a small claims tribunal shall be resolved by binding arbitration. Furthermore, nothing in this Arbitration Provision shall limit the right of you or jus (a) to foreclose against the motor vehicle by the exercise of any power under the Written Disclosure Ticket or under applicable law. (b) to exercise self-help remedies such as set off or repossession, or 9c) to obtain provisional or ancillary remedies such as pre-judgment, seizure of property, detinue, replevin, or injunctive relief, or to seek or obtain any other traditional equitable relief which does not claim money damages from a court having jurisdiction. The institution and maintenance by you or us of any action set forth in this Paragraph 6 shall not constitute a waiver of the right to submit any dispute to arbitration, including any counterclaim asserted. This Arbitration Provision is made pursuant to a transaction involving interstate commerce and shall be governed by the FAA. If a final non-appealable judgment of a court having jurisdiction over this transaction finds, for any reason that the FAA does not apply to this transaction, then our agreement to arbitrate shall be governed by the arbitration law of the State of South Carolina. This Arbitration Provision is binding upon and benefits you, your respective heirs, successors and assigns. The Arbitration Provision is binding upon and benefits us, our successors and assigns, and related third parties. The Arbitration Provision continues in full force and effect, even if your obligations have been extended or continued pursuant to O.C.G.A. §et seq., prepaid, paid or discharged through bankruptcy. The Arbitration Provision survives any termination, amendment, expiration or performance of any transaction between you and us and continues in full force and effect unless you and we otherwise agree in writing. This addendum amends the Retail Installment Contract and forms an integral part of it and is incorporated in it. Do not sign this document until you read it or if it contains any blank spaces. Keep a copy of it to protect your legal rights.
________________________________________ Buyer
__________________________________________ Buyer
________________________________________ Buyer
Date: _______________ VIN: __________________
________________________________________ Seller (Dealership Name)
By: _______________________________________ (Dealer Representative Signature)
Rev. 6.6.2007
Page 2 of 2
Barnett Finance Company Agreement to Provide Insurance I understand that my installment contract requires my car to be continuously covered by insurance against the risk of fire, theft, and collision. I agree to maintain such insurance in the amount equal to the lesser of the unpaid amount under the contract or the value of the vehicle. Failure to maintain insurance gives Barnett Finance Company the right to declare the entire unpaid balance immediately due and payable or obtain the insurance at my expense. I have arranged for the insurance through the agent or company as shown below. Barnett Finance Company will be the loss payee of the policy to the extent of the Banks interest. I further understand my maximum deductible will be $500.00 or less.
LOSS PAYEE: BARNETT FINANCE COMPANY 7300 ABERCORN ST SAVANNAH, GA 31406 BUYERS INFORMATION NAME ADDRESS PHONE NUMBER VEHICLE INFORMATION YEAR MAKE MODEL VIN # INSURANCE INFORMATION AGENT NAME AGENT PHONE AGENT ADDRESS COMPANY NAME POLICY NUMBER EFFECTIVE DATES COMP. DEDUCTIBLES COLL. DEDUCTIBLES
BUYERS SIGNATURE_______________________________________________DATE______________________
Rev.6.6.2007
Agreement an Acknowledgement Of Good Will Service
Acknowledgement, made this, _________________________day of ___________________20_ _, By________________________________________________________________________ (“Owner”) Concerning certain herein-described repairs (“the repairs”) to Owner’s herein-described vehicle (the “vehicle”)
____________________________________________________________________________________ Make Model Year VIN No.
Owner(s) hereby acknowledges, agrees, and represents the following: (1) the repairs to the vehicle are performed by Dealer as a voluntary, gratuitous, and good will service and not as a result of any express or implied contractual obligation or liability. (2) All express and implied warranties pertinent to the vehicle which have been heretofore disclaimed in any manner whatsoever by Dealer remain unchanged by Dealer’s performance of the repairs. (3) Dealer’s performance of the repairs shall not constitute or be deemed to be a course of performance or any waiver of Dealer’s disclaimer of any express or implied warranties pertaining to the vehicle. (4) Dealer’s performance of the repairs in no way obligates Dealer to perform any subsequent repairs to the vehicle.
General Description of Repairs: __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ ______________________________________________________________
_______________________________ Owner’s Signature
____________________________________ Dealer’s Representative Signature Rev 6.6.2007
BARNETT FINANCE COMPANY P.O. Box 15906 SAVANNAH, GA 31416 (912) 692-0008
Verification Request Applicant: _____________________________ _____________________________ _____________________________ I, _________________________ authorize Barnett Finance Company Inc. to verify my employment status, salary and any information needed to complete my loan. This authorization also includes the verification of my residential status/ information including but not limited to residential mortgage loans, equity loans and all residential rental agreements. Authorization to release information granted by: X_____________________________________________ Customer’s Signature
Employment Verification
Is employee working full or part time? _________________ Date of Hire: _____________ Position:________________ Supervisors Name: ________________________________ Information provided by: ___________________________
Residential Verification Address given: _____________________________ Is this correct? Yes / No If incorrect, please specify correct address: _____________________________ Monthly payment amount is $__________ due on the _________ of each month. How many persons are on the lease/mortgage? _____________ Is the rent/mortgage current? _______ Pay History Good/Fair/Poor? _________ If not current, past due amount: $_________________ Time at Residence: _________ Years ________ Months. Information Provided By: _______________________________ Date: ________ Notes/Explanations:_________________________________________________ Please fax back to Barnett Finance Verifications Department at 912-355-2270. If you have any questions or comments please call 912-692-0008.
Thank you for your assistance.
This Assignment is attached to and expressly made a part of that certain Motor Vehicle Retail Installment Contract (“Contract”) dated ___________________by and between: Buyer: ________________________
Seller: _____________________ Address: ___________________ _____________________
Co-Buyer: _____________________
It is expressly understood and agreed that Barnett Finance Company is substituted each and every time the name ___________________________ appears within the contract. (Seller)
For value received Seller hereby expressly sells, assigns, and transfers all of Seller’s right, title, and interest in the Contract, in all monies due there under, and in and to the vehicle and other property and security interests described there in, to Barnett Finance Company and/or its successors, assigns, subsidiaries and affiliates. All representations, warranties, indemnifications, guaranties, and hold harmless provisions made by Seller in the Contract, and all other terms of the assignment contained therein, are hereby made in favor of Barnett Finance Company. This Assignment specifically includes, but is not limited to, all right, title and interest of Seller in any insurance policies and other products ( and the proceeds thereof)purchased, endorsed or obtained by said Buyer(s) under the terms of the Contract. This Assignment specifically includes all right, title and interest of Seller in and to the vehicle, any property, collateral, or security interest described or provided for in the Contract. Not withstanding anything to the contrary contained in the Contract, this Assignment, upon execution by Seller, shall assign Seller’s rights in the Contract to Barnett Finance Company and not to any assignee(s) named in the Contract. This Assignment shall not be deemed to relieve Seller from any liability for the breach of any warranties, representations, or agreements contained herein or in the Contract or in the Master Dealer Agreement between Barnett Finance Company and Dealer. Seller (print) _____________________________________________________________ Seller’s Agent (print) ______________________________________________________ Agents Signature__________________________________________________________ Title____________________________________________________________________ Date____________________________________________________________________
Rev 6.6.2007
POWER OF ATTORNEY Date: __________________ Buyer Name: ____________________________________________________
Year:_______Make:_____________Model:______________Miles:________ VIN#__________________________________________________________ The undersigned constitutes and appoints a Representative of Barnett Finance Company Inc. (hereinafter”BFC”) as my (our) true and lawful attorney-in-fact for the purpose of endorsing any insurance check, endorsing a Sale of Security check, filing and insurance claim, filing a claim on a service contract, correcting a service contract, filing a gap claim or correcting a gap form, transferring title and registration, assignment of title, and application for title, assigning or releasing a lien on a title. I further grant authority to sign on my (our) behalf all papers and documents and to do all things necessary to this appointment.
Buyer X_________________________________________________________
Executed on this____________day of ___________________________, 20_ _.
______________________________, Individually and behalf of _______________________________
Subscribed and sworn to before me this _______days of ________________ Year________________. ________________________________________ Notary Public ________________________________________ Commission Expires
Phone# 912-692-0008
Deal Fax# 1-912-355-2270
7300 Abercorn Street, Savannah, GA 31406
