Credit Technologies
Dealership Onboarding Form
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BUSINESS INFORMATION
Name of Business
*
Federal Tax ID/EIN
*
Organization Type
*
Please Select
LLC
C-CORP
S-CORP
PARTNERSHIP
SOLE PROPRIETOR
OTHER
State Organized
*
DBA
If applicable
Date of Incorporation
*
Business Address
*
Mailing Address
Street Address Line 2
City
State
Zip
Business Phone
*
Business Fax
If not applicable type: N/A
Number of Locations
*
Buisness Website
*
Dealership Email
Services/Products Offered
*
IE: Powersports, Agriculture, Marine, Parts/Services
Minimum Cost of Product/Service
*
Maximum Cost of Product/Service
*
Average Cost of Product/Service
*
Estimated Annual Sales
*
Estimated Annual Finance Volume
*
Has the Company Ever Declared Bankruptcy?
*
Yes
No
If Yes, When?
PRINCIPAL INFORMATION - MUST FILL OUT
Dealership Principal Must Provide the Below Information to Process Enrollment
Principal 1 Name
*
Principal 1 Social Security Number (SSN)
*
Principal 1 Date of Birth (DOB)
*
-
Month
-
Day
Year
Date
Ownership %
*
Company Interest
*
Please Select
Owner
Owner-Operator
Principal 1 Address
*
Home Address
Street Address Line 2
City
State
Zip
Principal Phone
*
Principal 1 Email
*
Residence
*
Own
Rent
Principal 2 Name
If Applicable
SSN
Ownership %
Address
Home Address
Street Address Line 2
City
State
Zip
Phone
E-mail
example@example.com
Residence
Own
Rent
COMPANY CONTACT
Contact Name
*
Contact Title
*
Contact Phone
*
Contact Email
*
Banking Information
Depository Bank Name
*
Depository Bank Location
*
Routing/Transit Number
*
Account Number
*
Upload Voided Check or Letter Head from Bank (Can attach via DocuSign)
Browse Files
Drag and drop files here
Choose a file
Copy must be obtained to process onboarding
Cancel
of
Date
-
Month
-
Day
Year
Date
Credit Authorization
By checking the box below: You acknowledge, agree, and authorize Magwitch LLC to obtain consumer and associated data pertaining to your identity from one or multiple consumer reporting agencies, with the expressed intent of identifying potential lenders and/or service providers deemed most suitable for your needs, (b) disseminate your personal data to potential lenders and/or service providers on your behalf, (c) utilize your personal data to validate your identity, evaluate your current financial obligations and subsequently calculate your debt-to-income ratio, (d) allow aforementioned potential lenders and/or service providers to procure consumer reports and associated data concerning you from one or several consumer reporting agencies, inclusive of, but not restricted to TransUnion, Experian, and Equifax, and (e) permit potential lenders and/or service providers to utilize your personal data for making decisions regarding prequalification and other credit determinations.
By providing your signature below you acknowledge that you have read the Dealership Agreement and understand that this signature will bind to the Dealership Agreement. By providing your signature below you confirm all the information provided is true to the best of your knowledge.
[This signature must match Principal (1) Name provided above] The executed agreement will be returned via email.
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