First name* Last name*

Email* Phone*

Company Name*

Type of Business* Choose Type Individual (Sole Proprietor) Corporation Limited Liability Company Partnership Limited Partnership Other

DBA

Owner's first name*

Owner's last name*

Address*

City*

State/Province* Please select a state Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip/Postal Code*

Country*

County*

Business Telephone*

Business Fax

Website

Number of Locations*

Number of Years in Operation*

Current Annual Revenue*

Total Credit Line*

Number of Employees

Industry* Choose Industry European Powersports Japanese Powersports American Powersports Multi-OEM Powersports Multi-OEM Scooters Auto and Powersports Auto only Other

Real Estate* Choose Real Estate Mortgage Lease Own

Current Floorplan Financing Provider* (e.g., GECDF, Honda Financial, Textron, Local Bank, N/A, etc.)

Dealer Management System Provider* Choose Dealer Management ADP Lightspeed MIC Systems C Systems Talon ARI PartSmart IDS Dockmaster Other None

Address is same as above (check here)

Address (Proposed)

City

State/Province Please select a state Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip/Postal Code (Proposed)

County (Proposed)

Country (Proposed)

Area (in square ft)

I have read the foregoing paragraph and certify all statements and financial conditions on the attached financial statement to be true and complete

                         
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