New Dealer Application

Dealership Name *

Dealership Type *

Entity Legal Name *

Entity Type *

Dealership Address *

Dealership City *

Dealership State *

Dealership Postal Code *

Dealership Phone *

Dealership Fax

Dealership Email Address *

Dealership Website

DMS *

DMS Number *

Owner/Principal 1 Name *

Owner/Principal 1 Email (must be unique for DocuSign) *

Owner/Principal 1 Percentage Owned *

Owner/Principal 2 Name

Owner/Principal 2 Email (must be unique for DocuSign)

Owner/Principal 2 Percentage Owned

Owner/Principal 3 Name

Owner/Principal 3 Email (must be unique for DocuSign)

Owner/Principal 3 Percentage Owned

Date Business Opened (MM/DD/YYYY) *

Date Opened at this Location (MM/DD/YYYY) *

Number of Locations *

Dealership Location Type *

Average Number of Used Vehicles in Inventory *

Average Number of Used Vehicle Sales a Month *

Flooring Source *

Other Flooring Source

Amount Floored

Average Down Payment

Average Selling Price

How did you hear about Freeway Funding *

Marketing Representative Name

Name