Dealer Credit Application - Inventory Finance

Is this a new product line for you?

Yes No

How much of this product line did you sell last year?

Total Credit Limit Requested:

Brands:

Usage Allocation

Stock Inventory

$

Rental Inventory

$

Dealer Information

Legal Name:

DBA Name(s):

Federal Tax ID Number:

No Dashes

Entity Type:

State of Incorporation:

Incorporation Date:

Number of Years Under Current Management:

Contact Information

Contact Name:

Phone:

Email:

Fax:

Website:

Inventory Location

Address

City:

State:

Zip Code:

Is location owned or rented?

OwnedRented

Monthly rent?

Location owner's name?

How many owners?

Owner 1

1 - First Name:

1 - Last Name:

1 - Middle Name:

1 - Suffix:

1 - Title:

1 - Ownership %:

1 - Phone:

1 - Email:

1- Address

1 - City

1 - State

1 - ZIP Code:

1 - DOB:

1 - SSN:

Owner 2

2 - First Name:

2 - Last Name:

2 - Middle Name:

2 - Suffix:

2 - Title:

2 - Ownership %:

2 - Phone:

2 - Email:

2- Address

2 - City

2 - State

2 - ZIP Code:

2 - DOB:

2 - SSN:

Owner 3

3 - First Name:

3 - Last Name:

3 - Middle Name:

3 - Suffix:

3 - Title:

3 - Ownership %:

3 - Phone:

3 - Email:

3- Address

3 - City

3 - State

3 - ZIP Code:

3 - DOB:

3 - SSN:

Owner 4

4 - First Name:

4 - Last Name:

4 - Middle Name:

4 - Suffix:

4 - Title:

4 - Ownership %:

4 - Phone:

4 - Email:

4- Address

4 - City

4 - State

4 - ZIP Code:

4 - DOB:

4 - SSN:

*If the company has more than 4 owners, please contact your account manager.

Ownership/Corporate Structure

Parent/Holding Company Name:

Address:

Affiliate Name #1

Address:

Affiliate Name #2

Address:

Affiliate Name #3

Address:

Manufacturer Relationships

Manufacturer Name:

Since:

Contact Name:

Phone Number:

Inventory Finance Relationships

(1) Lender Name:

Established Date:

Replacing Existing Line:

Current Limit:

$

Balance:

$

Type of Inventory Financed:

Reason for Replacing Source: