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1.General Information
Dealer State
Dealer Type
Federal TIN
Name of Sales Rep
2.Dealer Information
Dealer Name
Business Phone
Business Fax
Email Address
Web Page
Physical Street Address
City
State
Zip
3.Business Information
Seller Permit Number
Property Ownership
Inventory Source
Avg. Units Sold Per month
Cur Inventory($)
Amount Currently Floored
Avg. Contract Length
Avg. Selling Price
Business Location Owner Address
Business Location Owner Phone Number
Lender Number
Is the dealership licensed to sell credit insurance?
Is the dealership licensed to sell phyical demage insurance?
Name Of Service Contracts Sold.
4.Dealership Owner
Title
Legal First Name
Legal Last Name
Email
Phone
SSN
DOB
Driver License
Percentage ownership in Dealership
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