DEALERSHIP INFO

Business Legal Name
DBA Name (If Applicable)
Federal ID	Sales Tax ID
Dealer License #	Expiration Date
Phone #	Fax #
Website	Years in Business
Business Type (Corp, LLC, Etc)

Primary Lot

Street Address
City	State
Zip	County
Years At This Location	Own Or Rent

Secondary Lot (Complete If Applicable)

Street Address
City	State
Zip	County
Years At This Location	Own Or Rent

Mailing Address (Complete If Applicable)

Street Address
City	State
Zip	County
Years At This Location	Own Or Rent

Owner / Officer 1

Owner / Officer Name	Title
Percentage Of Ownership	SSN
Street Address
City	State
Zip	County
Years At This Location	Own Or Rent
Phone #	Cell Phone #
Email	DOB
Drivers License #	Issuing State
Drivers License Exp Date
Absentee Owner (Yes or No)	If Yes Complete Onsite Manager Info Section

Owner / Officer 2

Owner / Officer Name	Title
Percentage Of Ownership	SSN
Street Address
City	State
Zip	County
Years At This Location	Own Or Rent
Phone #	Cell Phone #
Email	DOB
Drivers License #	Issuing State
Drivers License Exp Date
Absentee Owner (Yes or No)	If Yes Complete Onsite Manager Info Section

Owner / Officer 3

Owner / Officer Name	Title
Percentage Of Ownership	SSN
Street Address
City	State
Zip	County
Years At This Location	Own Or Rent
Phone #	Cell Phone #
Email	DOB
Drivers License #	Issuing State
Drivers License Exp Date
Absentee Owner (Yes or No)	If Yes Complete Onsite Manager Info Section

Onsite Manager (Complete if Absentee Owner)

Owner / Officer Name	Title
Percentage Of Ownership	SSN
Street Address
City	State
Zip	County
Years At This Location	Own Or Rent
Phone #	Cell Phone #
Email	DOB
Drivers License #	Issuing State
Drivers License Exp Date

Additional Information

Credit Requested	Referred By
Units Currently On Lot	Total Wholesale Value
# Units Sold Last Month	# Units Sold Last Year
Lot Unit Capacity # #	Typical Time Units Held
Time From Purchase To Front Line	Do You Accept Trade-Ins
Average Unit Value	Highest Priced Unit
Lowest Priced Unit

Current Funding

Lender 1	Current Line
Account In Good Standing?	Date Started With Lender
Lender 2	Current Line
Account In Good Standing?	Date Started With Lender
Lender 3	Current Line
Account In Good Standing?	Date Started With Lender

Non Disclosure / Confidentiality Agreement

By filling out the below section, I / We understand and agree that all
information provided by Partners Capital Finance, LLC is confidential and will not be shared with anyone other
than the owners / partners / officers and their legal council.

Owner / Officer Name	Title
Date