Dealership Information
Dealer Name
*
Dealer Legal Name
*
Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Federal Employment Identification Number
*
License Number
*
-
License Number
Expiration Date
Email
*
example@example.com
Business Type
*
(Inc, LLC, Sole Proprietor)
Date Established
*
/
Month
/
Day
Year
Date
Multiple Locations
*
Yes
No
Location Own/Rent
*
Own
Rent
Dealertrack ID#
*
RouteOne ID#
*
Doc Fee
*
Name of DMS
*
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Ownership Information
Number of Owners
*
1
2
3
Owner 1 Name
*
First Name
Last Name
Owner 1 SSN
*
Owner 1 Birthdate
*
/
Month
/
Day
Year
Date
Owner 1 Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Owner 2 Name
First Name
Last Name
Owner 2 SSN
Owner 2 Birthdate
/
Month
/
Day
Year
Date
Owner 2 Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Owner 3 Name
First Name
Last Name
Owner 3 SSN
Owner 3 Birthdate
/
Month
/
Day
Year
Date
Owner 3 Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Bank Information
Bank Name
*
Bank ABA #
*
Bank Email Address
*
example@example.com
Bank Routing Number
*
Bank Account Number
*
Bank Contact
*
First Name
Last Name
Bank Phone Number
*
-
Area Code
Phone Number
Bank Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Floorplan Information
Floorplan Source
*
Approximate Floorplan Size
*
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