DEALER FINANCIAL APPLICATION Dealer InformationCompany Legal Name: DBA if Applicable: Dealer License # Physical Address: City: State: Zip: Phone:Years in Business: Business Type: Corporation Partnership Sole Proprietorship LLC Annual SalesNumber of EmployeesAmount Requested:TIN / FEIN Current Floor Plans and Amounts Officer Owner InformationOfficer/Owner Name: Title: SS# Ownership %Home Address: City: State: Zip: Email: Cell Phone:Home Phone:Partner/Co-Owner InformationPartner/Co-Owner Name: SS# Ownership %Home Address: City: State: Zip: Email: Cell Phone:Home Phone:ReferencesAuction Reference: Phone:Business Reference: Phone:SignaturesOwner Signature: Date MM slash DD slash YYYY Co-Owner Signature: Date MM slash DD slash YYYY Typing your name here constitutes your signature. and will authorize us to processes your application. CAPTCHANameThis field is for validation purposes and should be left unchanged.
