Please fill in this form electronically, then either copy and email to us at dealerapp@allamericancap.com

-or-

 print it out and fax to us at 404.949.0060

DEALER INFORMATION

Dealer Name: (as appears on dealer license)
Business Type :
Date Established:
Dealer License #:
Subsidiary Names:
Address::
City:
State: Zip:
Fed ID#:
Office Contact:
Phone:
Fax Number:
Mobile:

SUBSIDIARY, AFFILIATE, or DBA (One of Two):
Name:
Business Type :
Date Established:
Dealer License #:
Subsidiary Names:
Address::
City:
State: Zip:
Fed ID#:
Office Contact:
Phone:
Fax Number:
Mobile:

SUBSIDIARY, AFFILIATE, or DBA (Two of Two):
Name:
Business Type :
Date Established:
Dealer License #:
Subsidiary Names:
Address::
City:
State: Zip:
Fed ID#:
Office Contact:
Phone:
Fax Number:
Mobile:

CORPORATE PRINCIPALS:
Name:
Title:
Date of Birth:
SSN: % Ownership:
Home Address:
   
Name:
Title:
Date of Birth:
SSN: % Ownership:
Home Address:
   
Name:
Title:
Date of Birth:
SSN: % Ownership:
Home Address:
   
Name:
Title:
Date of Birth:
SSN: % Ownership:
Home Address:

Floor Planned With:
Lending Institutions You Are Selling Contracts To:
 
Date You Started Dealer-Controlled Financing:
Avg Sales / Month:
Avg Amount Financed:
Avg Amount Down:
Avg Units in Inventory:
 
Have these accounts been pledged as security to any outside company?:
  Yes No
Average Interest
Rate Charged:
Method of Calculation:
 
Are your accounts computerized? Yes No
  If so, which software:

BANK REFERENCE:
Name:
Address:
Contact:
Phone:

BUSINESS REFERENCE 1:
Name:
Address:
Contact:
Phone:

BUSINESS REFERENCE 2:
Name:
Address:
Contact:
Phone:

PERSONAL REFERENCE::
Name:
Address:
Contact:
Phone:
 

FLOORPLAN INSTITUTION:
Name:
Address:
Contact:
Phone:

AUCTION:
Name:
Address:
Contact:
Phone:

Are there any holders of any liens against the Dealership and any affiliates and subsidiaries, including the pledged collateral?
Lien Holder:
Amount:
Lien Holder:
Amount:
Lien Holder:
Amount:
Lien Holder:
Amount:
Lien Holder:
Amount:

Please forward a copy of the following information to All-American Capital Group, LLC.
Dealer License
Dealer Bond
Most Recent Banking Statement
Banking & Finance License
Sales Tax Certificate
Dealer Financial Statement-Manufacturers
Last Years Federal Income Tax Returns

                             Copy of Last Two Months P&L Statements

                             Copy of Voided Company Check 

     

Copy of Current Inventory List

                            Copy of Lease (if applicable)
 

 

 


I AUTHORIZE ALL-AMERICAN CAPITAL GROUP, LLC TO ORDER INVESTIGATIVE CONSUMER REPORTS, CREDIT REPORTS, CRIMINAL REPORTS AND/OR INFORMATION FROM MY REFERENCES WHICH INCLUDE BANKING REFERENCES REGARDING MYSELF OR THIS COMPANY. I UNDERSTAND THAT THE FEDERAL PRIVACY ACT, OR OTHER LAWS, RULES OR REGULATIONS MAY PROHIBIT YOUR DISCLOSURE OF SUCH INFORMATION WITHOUT MY EXPRESS APPROVAL AND AUTHORITY WHICH I HEREIN GRANT. I REQUEST YOUR COOPERATION WITH ALL-AMERICAN CAPITAL GROUP, LLC.
Name:
Title:
Home Addess :
Date:
Dealer Account Rep: