APPLICATION FOR DEALER AGREEMENT
Address: JCB INC. Heavy Line Fastrac Tractor
2000 Bamford Blvd. Materials Handling Line
Pooler, GA 31322 Utility Line
Telephone: 912-447-2173 Articulated Haulers
Dealership Full Legal
Organization Type: Fax:
(If corporation, name states in which incorporated and
Federal Tax ID#: State Sales Tax ID#:
Web Site Address: Co. E-mail Address:
Corporate Identification #:
E-mail Address – Pres / General Manager
“ “ - Sales Manager
“ “ - Parts Manager
“ “ - Service Manager
“ “ - Other(s)
OWNERSHIP (Management of prospective dealership and person(s) whom have a financial interest.
Name(s) Position/Title Investment ($) Active Time (%) Location
CAPITAL REQUIREMENTS AND RESOURCES (Actual W/C = 7 turns total sales, Investment = LTD + Net Worth less Land &
REQUIREMENTS $ COMPOSITION ($)
Working Capital Long-term Debt Plus
Total Operating Stockholder’s Equity (net worth)
Total Operating Investment
LONG-TERM DEBT ---- SOURCES AND SECURITY
Borrowed Security Pledged Name of Lender Repayment Schedule Interest %
Total long-term Debt
What accounting system will dealership use?
NOTE: Granting the Dealer Agreement after application approval is conditional upon receiving written evidence that
the committed capital has been made available.
PERSONNEL TO BE EMPLOYED: Name of the General Manager:
Personnel Required Available Additional Timing of Hire
FACILITIES TO BE UTILIZED (Total Square Feet in Thousands)
MAIN BUILDING Current Facility Additions Needed Timing for Additions
Total Main Building
OTHER: Existing Warehouse
Future Additional. Warehouse
Lot Size (acres to nearest tenth: Building will be: If leased, cost per month:
Currently Approx. Additions Timing for purchase of
In Use Type and Size Cost Needed additional vehicles
OTHER BUSINESS (Other business & non-JCB products I/we plan to handle in same facility with JCB products are):
Brand Name Estimated Annual Sales Brand Name Estimated Annual Sales
JCB Inc. Construction (Yes or No) Number Units by Model Equity ($000)
Materials Handling Line
Initial Parts & Accessories Stock: JCB Parts
Special Shop Tools (Attach list of essential tools needed which I/we do not now have.)
Total Initial Stock
As an inducement to your acceptance of this application, and to the issuance of a JCB Inc. Dealer Agreement to
me/us, I/we acknowledge that it has been explained to me/us that JCB Inc. dealers are obligated, and I/we agree, if
appointed as a JCB Inc. dealer to:
A. Attend available training programs as appropriate.
B. Maintain adequate size facilities for the potential volume of business according to approved JCB Inc. identification
standards, equip the service shop with essential service shop tools, and use trucks and trailers of sufficient
capacity to safely transport JCB Inc. Industrial and Agricultural equipment.
C. Perform on-the-job solicitation, demonstration and service.
D. Maintain acceptable accounting records and submits acceptable financial statements.
E. Maintain records and makes payments as required by any finance plan utilized for inventories.
F. Maintain an active prospect name file and owner record files.
G. Maintain parts purchase and inventory control records.
H. Order service parts on a regular stock order basis.
I. Participate in recommended advertising, direct mail and other promotional programs in relation to potential sales.
J. Purchase and carry a representative inventory of the products offered under the JCB Inc. Dealer Agreement
including display, demonstration and delivery that are applicable for use in our Area of Primary Responsibility
K. Place an initial stock order in the approximate quantities shown below covering products indicated as having
sales potential in this Area of Primary Responsibility (APR).
L. Install a JCB Inc. pylon sign.
PERSONAL QUALIFICATIONS (One each of the following statements is supplied by me/us as to the qualifications of
each of the named persons shown under “Ownership” Section on Page 1.)
Individual Applicant’s Personal Statement
APPLICATION FOR JCB WHOLESALE PLAN (I/we desire this service; copies of the following documents are attached):
Full Legal Name of Prospect
Title (Owner, Partner or Corporate)
Mount over this area a snapshot of the proposed dealership (preferably color). The desired
picture should show a street view of the facilities. Any additional snapshots showing exterior
details of the buildings, and auxiliary building, should be mounted on plain 8-1/2” x 11” paper,
properly identified and attached.
Based upon the foregoing information, and upon a satisfactory credit-reporting agency report that has been obtained by us and/or by the
wholesale financing institution on the above individual or business applicant(s), I recommend approval of this application, subject to prospect
securing the following credit lines:
Wholesale Financing Limits
Industrial & Agricultural
Rent for Sale
JCB INC. APPROVAL
Dealer Development Manager Date