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64-AC-500 4-05
STATE BOARD OF AUCTIONEER EXAMINERS
MAILING ADDRESS COURIER ADDRESS PHONE: 717-783-3397
STATE BOARD OF STATE BOARD OF FAX: 717-705-5540
AUCTIONEER EXAMINERS AUCTIONEER EXAMINERS EMAIL: st-auctioneer@state.pa.us
P.O. BOX 2649 2601 NORTH THIRD STREET WEB: www.dos.state.pa.us/auct
HARRISBURG, PA 17105 HARRISBURG, PA 17110
APPLICATION FOR AUCTION COMPANY
Follow Instructions Below and Submit ALL Required Documents
TO EXPEDITE THE PROCESSING OF YOUR APPLICATION, PLEASE ENSURE THE FOLLOWING
ITEMS ARE COMPLETED PRIOR TO SUBMITTING THE APPLICATION
Application Checklist:
Application fee enclosed. (Made payable to the “Commonwealth of Pennsylvania.”)
Social Security Number and/or Date of Birth MUST be listed.
Questions on application MUST be answered.
Verification Statement MUST be signed.
Auctioneer of Record MUST be listed on application (IF APPLICABLE) and MUST have a
current bond on file with the Board office.
Social Security Act Certification must be signed and dated, if applicable.
Bond in the amount of $5,000 payable to the Commonwealth of Pennsylvania. Bond must
indicate that it is for an “Auction Company.” Bond submitted MUST be the original
document with original signatures.
The bonding company MUST be licensed by the Pennsylvania Insurance Department to
operate in the Commonwealth of Pennsylvania.
The bond form MUST be signed and witnessed.
The bonding company MUST sign the bond and imprint their seal in the appropriate area.
The Consent of Nonresident Licensee MUST be completed (IF APPLICABLE).
A certified copy of the Power of Attorney MUST be attached to the bond.
PLEASE NOTE:
ALL ITEMS LISTED ABOVE MUST BE COMPLETED IN ORDER TO PROCESS THE APPLICATION. IF THE
APPLICATION IS NOT COMPLETED IN IT’S ENTIRETY OR THE REQUIRED ATTACHMENTS ARE NOT
PROVIDED, PROCESSING TIME WILL BE DELAYED.
64-AC-500 4-05
STATE BOARD OF AUCTIONEER EXAMINERS
MAILING ADDRESS COURIER ADDRESS PHONE: 717-783-3397
STATE BOARD OF STATE BOARD OF FAX: 717-705-5540
AUCTIONEER EXAMINERS AUCTIONEER EXAMINERS EMAIL: st-auctioneer@state.pa.us
P.O. BOX 2649 2601 NORTH THIRD STREET WEB: www.dos.state.pa.us/auct
HARRISBURG, PA 17105 HARRISBURG, PA 17110
INSTRUCTIONS FOR THE
APPLICATION FOR AN AUCTION COMPANY LICENSE
An auction company is a company, which, as part of its business, arranges, manages, sponsors,
advertises or carries out auctions.
Every person, except an individual who is licensed as an auctioneer or an individual who is
licensed to operate an auction house, shall, before operating an auction company, obtain a
license from the Board to operate the auction company. Every partnership, association or
corporation must obtain a license even though a member or officer is licensed as an auctioneer.
A licensed auctioneer who also operates an auction company shall complete and submit this
application. DO NOT SUBMIT THE FEE OR BOND. After registering the auction company with
the Board, the auctioneer shall notify the Board in writing if the operation of the auction
company is sold or discontinued or if the name or location of the auction company is changed.
If the applicant is a partnership, association or corporation, then a member of the partnership or
association or an officer of the corporation, who is licensed in this Commonwealth as an
auctioneer, must be designated as the auctioneer-of-record. The Board has also determined that
if you are an individual who is not a Pennsylvania licensed auctioneer applying for licensure, you
are required to name an auctioneer-of-record.
FEE: $50.00 NON-REFUNDABLE APPLICATION FEE. CHECK OR MONEY ORDER MADE
PAYABLE TO THE “COMMONWEALTH OF PENNSYLVANIA.” THERE IS A $20.00 CHARGE
FOR ALL CHECKS RETURNED “NOT PAID” REGARDLESS OF THE REASON FOR NON-
PAYMENT.
Complete the attached BOND in the amount of $5,000 payable to the COMMONWEALTH OF
PA. A certified copy of the POWER OF ATTORNEY is also required to be submitted with the
bond. The bond must indicate that it is issued for an “AUCTION COMPANY.”
64-AC-500 4-05
STATE BOARD OF AUCTIONEER EXAMINERS
MAILING ADDRESS COURIER ADDRESS PHONE: 717-783-3397
STATE BOARD OF STATE BOARD OF FAX: 717-705-5540
AUCTIONEER EXAMINERS AUCTIONEER EXAMINERS EMAIL: st-auctioneer@state.pa.us
P.O. BOX 2649 2601 NORTH THIRD STREET WEB: www.dos.state.pa.us/auct
HARRISBURG, PA 17105 HARRISBURG, PA 17110
APPLICATION FOR AN AUCTION COMPANY LICENSE
FEE: $50.00 NON-REFUNDABLE APPLICATION FEE. CHECK OR MONEY ORDER MADE PAYABLE TO THE
“COMMONWEALTH OF PENNSYLVANIA.” THERE IS A $20.00 CHARGE FOR ALL CHECKS RETURNED “NOT
PAID” REGARDLESS OF THE REASON FOR NON-PAYMENT. A PENNSYLVANIA LICENSED AUCTIONEER
APPLYING FOR REGISTRATION OF AN AUCTION COMPANY IS NOT REQUIRED TO SUBMIT THE FEE.
Complete the attached BOND in the amount of $5,000 payable to the COMMONWEALTH OF PA. A certified copy
of the POWER OF ATTORNEY is also required to be submitted with the bond. The bond must indicate that it is
issued for an “AUCTION COMPANY.” A PENNSYLVANIA LICENSED AUCTIONEER APPLYING FOR REGISTRATION
OF AN AUCTION COMPANY IS NOT REQUIRED TO SUBMIT THE BOND.
IF YOU ARE A LICENSED AUCTIONEER WHO HAS INDIVIDUAL OWNERSHIP, COMPLETE THIS SECTION. PLEASE
BE SURE TO SIGN AND DATE LINE 1 OF THE VERIFICATION STATEMENT:
NAME OF AUCTION COMPANY:
STREET ADDRESS:
CITY, STATE & ZIP CODE:
NAME OF AUCTIONEER/OWNER:
LICENSE NUMBER: TELEPHONE NUMBER:
DATE OF BIRTH: EMAIL ADDRESS:
SOCIAL SECURITY NUMBER:
Page 1 of 4
IF YOU ARE A NON-LICENSEE WHO HAS INDIVIDUAL OWNERSHIP, COMPLETE THIS SECTION. PLEASE BE SURE
TO OBTAIN SIGNATURES AND DATE LINES 2 & 3 OF THE VERIFICATION STATEMENT:
NAME OF AUCTION COMPANY:
STREET ADDRESS:
CITY, STATE & ZIP CODE:
NAME OF OWNER:
SOCIAL SECURITY NUMBER: TELEPHONE NUMBER:
DATE OF BIRTH: EMAIL ADDRESS:
NAME OF AUCTIONEER-OF-
RECORD:
AUCTIONEER OF RECORD
LICENSE NUMBER :
IF YOU ARE AN ASSOCIATION, CORPORATION OR PARTNERSHIP WHO HAS OWNERSHIP, COMPLETE THIS
SECTION. PLEASE BE SURE TO OBTAIN SIGNATURES AND DATE LINES 4 & 5 OF THE VERIFICATION
STATEMENT:
NAME OF AUCTION COMPANY:
STREET ADDRESS:
CITY, STATE & ZIP CODE:
NAME OF OWNER: TELEPHONE NUMBER:
DATE OF BIRTH: EMAIL ADDRESS:
NAME OF AUCTIONEER-OF-
RECORD:
AUCTIONEER OF RECORD
LICENSE NUMBER :
Page 2 of 4
APPLICANT IS REQUIRED TO COMPLETE THIS SECTION:
If you answer "Yes" to questions 2, 3, 4, or 5, you are required to submit CERTIFIED COPIES of the court
documents with this application.
THE FOLLOWING QUESTIONS MUST BE ANSWERED: YES NO
1. Do you hold a license to practice this profession in any other state or jurisdiction?
List:
2. Have you had disciplinary action instituted or taken against Check here if action was taken in
PA
your license in any state or jurisdiction?
Certified Copies Not Required
3. Have you withdrawn an application for a license, had an application for a license denied or
refused, or agreed not to reapply for a license in any state or jurisdiction?
4. Have you been convicted, found guilty or pleaded nolo contendere, or received probation
without verdict as to any felony or misdemeanor, including any drug law violations, or any criminal
charges pending and unresolved in any state or jurisdiction?
5. Within five years prior to the issuance of the license in force, have you been convicted in a court
of competent jurisdiction in this or any other state or in federal court of forgery, embezzlement,
obtaining money under false pretenses, extortion, conspiracy to defraud or other like offenses?
VERIFICATION STATEMENT:
By signing below, I verify that this form is in the original format as supplied by the Department of State and
has not been altered or otherwise modified in any way. I am aware of the criminal penalties for tampering
with public records or information pursuant to 18 Pa. C.S.§4911.
Additionally, I certify that the statements in this application are true and correct to the best of my
knowledge, information and belief, and that I am of good moral character. I understand that any false
statement made is subject to the penalties of 18 Pa. C.S.§4911 relating to unsworn falsification to
authorities and may result in the suspension or revocation of my license or certificate.
____________________________________________________ _______________________________
Signature of Auctioneer 1 Date
____________________________________________________ _______________________________
Signature of Individual (Non-Licensee) 2 Date
____________________________________________________ _______________________________
Signature of Auctioneer-of-Record 3 Date
____________________________________________________ _______________________________
Signature of Association, 4 Date
Corporation or Partnership
____________________________________________________ _______________________________
Signature of Auctioneer-of-Record 5 Date
Page 3 of 4
SOCIAL SECURITY ACT CERTIFICATION
This licensing board is obligated to inform each applicant or licensee
from whom it requests a Social Security number on any application or
form that disclosing such number is mandatory in order for this
licensing board to comply with the requirements of the federal Social
Security Act pertaining to child support enforcement, as implemented
in the Commonwealth of Pennsylvania at 23 Pa. C.S. § 4304.1(a).
In order to enforce domestic support orders, at the request of the
Commonwealth’s Department of Public Welfare (DPW), this licensing
board must provide to DPW information prescribed by DPW about the
licensee, including the Social Security number.
In the event that this licensing board takes disciplinary action against
an applicant or licensee, this board may disclose their Social Security
number if the applicant or licensee voluntarily agrees to the disclosure
of this information to the appropriate professional association. This
organization compiles information about individual applicants and
licensees and transmits that information to other licensing boards in
order to coordinate licensure and disciplinary activities between the
individual states. If you do not voluntarily provide your Social
Security number for this purpose, information about you will still be
transmitted to this organization should you be disciplined by this
licensing board, but that information will not include your Social
Security number.
I certify that I have read the above statement, understand the full
intent and I do give this licensing board permission to report my
Social Security number to the appropriate professional association or
licensing board.
____________________________ _________________
Signature Date
Page 4 of 4
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF STATE
STATE BOARD OF AUCTIONEER EXAMINERS
P. O. BOX 2649
HARRISBURG, PENNSYLVANIA 17105-2649
717-783-3397
BOND #_________________________
BOND
KNOW ALL PERSONS BY THESE PRESENTS, that the application for______________________________
Auctioneer/Apprentice/Company/House
_____________________________________ a/an ________________________________, with business located at
Name of Applicant Individual/Association/Partnership/Corporation
________________________________________________________________________________________________
Street
________________________________________________________________________________________________
City State Zip Code
as PRINCIPAL, and ______________________________________________ with a Certificate of Authority from the
Name of Surety Company
Pennsylvania Insurance Department and located at ____________________________________________________
Street
________________________________________________________________________________________________
City State Zip Code
as SURETY, are held firmly bound unto the Commonwealth of Pennsylvania in the sum of $5,000 (Five Thousand
Dollars) lawful money of the United States of America, to be made payable to the said Commonwealth, for the
use of the Commonwealth, its attorney or assigns, or any person or persons who may have a cause of action
under the Auctioneer and Auction Licensing Act (Act 85 of December 22, 1983), to which payment will and truly
to be made, we do hereby bind ourselves, jointly and severally our heirs, executors, administrators, successors
and assigns firmly by these presents. This agreement will continue in effect until written notification of
cancellation by surety.
SIGNED SEALED AND DELIVERED THIS ____________ DAY OF _____________________________ 20 ________
WHEREAS, the above-bounded Principal desires to operate or conduct the business of
_______________________________________________________________________________________________
Auctioneer/Apprentice/Auction Company/Auction House/Special License Applicant
within the Commonwealth in accordance with the provisions of the Auctioneer and Auction Licensing Act and
the rules and regulations adopted under and pursuant thereto.
NOW, THEREFORE, the condition of this obligation is such that if upon and after issuance of such
license the above-bounded Principal shall fully and faithfully observe the provisions of all the laws of this
Commonwealth and the rules and regulations promulgated by the State Board of Auctioneer Examiners as a
licensee then this obligation shall be void; otherwise, it shall remain in full force, virtue and effect.
And, the obligors, jointly and severally, for themselves, their heirs, executors, administrators, successors
and assigns, do agree with the Commonwealth that upon violation of the said Act, and the rules and regulations
promulgated by the State Board of Auctioneer Examiners, or the applicable rules and regulations of the
Department, Board or Commission of the Commonwealth thereunder or of any laws of this Commonwealth, and
upon the revocation of the licensure and upon forfeiture of the bond, aforesaid, or upon the recovery of a
judgment and in execution of that judgment on the bond, as specified at §13(c) of the Act, for any such violation
during the continuance of such license, the full amount of this bond shall be due and payable.
And we, and each of us, do hereby confess judgment against us and each of us for the penal sum of
$5,000 (Five Thousand Dollars), with cost of suit and release of all errors, without stay of execution, waiving
inquisition and condemnation of any real estate, and we, and each of us, do hereby waive the benefit of any law
or laws now in force, or which may hereafter become a force exempting property from levy and sale upon
execution, and we do hereby empower any attorney, or the Prothonotary, of any Court of Record within this
Commonwealth or elsewhere, to appear for us and each of us, to confess judgment as expressed, and for the
entering of such judgment and so doing this shall be sufficient warrant; a copy of bond being filed in said action,
it shall be necessary to file the original as a warrant, any law or rule of Court notwithstanding.
INDIVIDUAL WITNESS
________________________________________ ________________________________________
SIGNATURE OF PRINCIPAL
ASSOCIATION/CORPORATION/PARTNERSHIP WITNESS
________________________________________ ________________________________________
NAME OF BUSINESS
BY _____________________________________ ________________________________________
NAME OF OFFICER SIGNATURE OF OFFICER
SURETY:
________________________________________ ________________________________________
NAME OF SURETY COMPANY SIGNATURE OF SURETY
________________________________________________
STREET ADDRESS OF ATTORNEY- IN- FACT
(BUSINESS SEAL)
_______________________________________
CITY STATE ZIP CODE
CERTIFIED COPY OF POWER OF ATTORNEY NOMINATING, CONSTITUTING AND APPOINTING SAID
ATTORNEY-IN-FACT FOR SAID CORPORATE SURETY MUST BE ATTACHED HERETO. DATE OF SAID
CERTIFICATION AND DATE OF EXECUTION OF BOND MUST AGREE.
CONSENT OF NONRESIDENT LICENSEE
Whereas, the Auctioneer and Auction Licensing Act in the Commonwealth of Pennsylvania requires that a
nonresident licensee of the State Board of Auctioneer Examiners files a consent that suits and other legal actions
may be commenced against a licensee in the proper court of any county of the Commonwealth in which a cause of
action may arise or in which a plaintiff may reside.
Now witnesseth, that the undersigned______________________________________________________
Name of Applicant
of ___________________________________________________________________________________________
Street
_____________________________________________________________________________________________
City State Zip Code
an ____________________________, hereby consents to the commencement of suits and other legal actions
Type of License
against the licensee in and county of the Commonwealth in which a cause of action may arise or in which a plaintiff
may reside by service of any process of pleading authorized by the laws of the Commonwealth or the Secretary of
the Commonwealth of Pennsylvania; and
That the undersigned stipulates and agrees that service of process or pleading as aforesaid on the Secretary
of the Commonwealth, shall be taken and held in all courts to be as valid and binding as if due service had been
made upon the undersigned within the Commonwealth of Pennsylvania; and
That the undersigned intends that this consent shall be and hereby is irrevocable.
State of __________________ County of ________________
SWORN TO AND SUBSCRIBED BEFORE ME THIS _______ DAY OF ___________ 20 _______
MY COMMISSION EXPIRES: ________________
_____________________________________ ____________________________________
Signature of Notary Signature of Applicant
4/05
