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					                           APPLICATION FOR DEALER AGREEMENT
Address:       JCB INC.                         Heavy Line                           Fastrac Tractor
               2000 Bamford Blvd.               Materials Handling Line
               Pooler, GA 31322                 Utility Line
                                                Hydraulic Excavators
Telephone:     912-447-2173                     Articulated Haulers
Date:
Dealership Full Legal
Name:
Complete Mailing
Address:
Complete Shipping
Address:
County:                                                        Telephone:
Organization Type:                                             Fax:
 (If corporation, name states in which incorporated and
dates.)
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
                                    CEO
                                    PRESIDENT
                                    VICE-PRES
                                    CFO
                                    SEC-TRES
                                    GM
                                    SALES MGR
                                    PARTS MGR
                                    SERVICE MGR
                                                  TOTAL


CAPITAL REQUIREMENTS AND RESOURCES (Actual W/C = 7 turns total sales, Investment = LTD + Net Worth less Land &
Buildings)

                     REQUIREMENTS $                                           COMPOSITION ($)
                              Standard       Actual
   Working Capital                                                Long-term Debt Plus
   Total Operating                                                Stockholder’s Equity (net worth)
   Investment
                                                                  Total Operating Investment
LONG-TERM DEBT ---- SOURCES AND SECURITY

      Amount
     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
                                                                     Needed
   Sales Person
   Sales Manager
   Parts Person
   Parts Manager
   Service Person
   Service
   Manager
   Bookkeeper
   Other
     Total

FACILITIES TO BE UTILIZED (Total Square Feet in Thousands)

            MAIN BUILDING                 Current Facility      Additions Needed       Timing for Additions
   Sales Department
   Parts Department
   Service Department
   Offices
    Total Main Building

   OTHER: Existing Warehouse
   Future Additional. Warehouse
    Total Warehouse/Storage

Lot Size (acres to nearest tenth:           Building will be:          If leased, cost per month:

VEHICLES

                          Currently                                    Approx.       Additions      Timing for purchase of
                           In Use            Type and Size              Cost         Needed           additional vehicles
   CARS




   PICK-UPS
1
    TRUCKS/TRAILERS




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




                                      Potential                                                           Approximate
        JCB Inc. Construction        (Yes or No)              Number Units by Model                       Equity ($000)
               Product
    Heavy Line
    Materials Handling Line
    Compact Line
    Agricultural Line
    Hydraulic Excavators




                                                                                            Total

                                                    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



UNDERTAKINGS

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
   (APR).
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




                                                         Authorized Signature




                                                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
                  Equip.
                  trade-ins
                  DORF
                  Rent for Sale


                                         JCB INC. APPROVAL


                Dealer Development Manager                                                            Date

				
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