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Business Information
Exact Legal Name
Entity Type
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Corporation
Partnership
LLC
Sole Prop
DBA Name (if applicable):
Federal Tax ID
Dealer License #:
Phone
FAX
Business Email
Dealership Website:
Street Address
City
State
Zip
Current Inventory:
Lot Capacity:
Average Wholesale Cost of Inventory:
Requested amount:
Current Floor Plan Source:
Credit Line Amount:
Current Floor Plan Source:
Credit Line Amount:
Dealer License Expiry Date:
Consumer Affairs License Expiry Date:
Owner / Guarantor Information
Name
Title
Ownership %
Social Security #:
Date Of Birth
Home Address
City
State
Zip
SIGNATURE:
Date
Owner / Guarantor Information
Name
Title
Ownership %
Social Security #:
Date Of Birth
Home Address
City
State
Zip
SIGNATURE:
DATE:
Owner / Guarantor Information
Name
Title
Ownership %
Social Security #:
Date Of Birth
Home Address
City
State
Zip
SIGNATURE:
DATE:
By signing above, applicant(s) hereby certifies/ certify that the information contained within this application and any financial statements and other materials provided in connection herein are true, complete, and accurate. Applicant(s) further authorize DFP together with its subsidiaries and affiliates to obtain and share credit and other information relating to the applicant(s) from and with credit bureaus, financial institutions, trade creditors, affiliates, and others and to conduct such credit investigations as DFP, in its sole discretion, deems necessary to make a lending decision.
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