Company InformationCompany Name* Doing Business As (DBA) Main Company Phone Number*Primary Contact Person* First Last Title* Owner InformationHow Many Owners Are There?*All owners owning more than 10% of business must be provided. Any missing ownership will delay the processing of your dealer application. If more than 4 owners, we will collect that information during the application review process.1234+Owner 1Owner 1: Name* First Last Owner 1: Personal Phone Number*Owner 1: Is This Phone Number a Landline or Mobile Number?* Landline Mobile Owner 1: % Owned* Owner 1: Home Address* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Owner 1: SSN*Invalid SSN will delay the processing of the dealer application. Owner SSN is required for verification and other compliance purposes, and will be used to perform a soft inquiry on the owner’s credit report, which will not affect the owner’s credit score. Owner 2Owner 2 Name* First Last Owner 2: Personal Phone Number*Owner 2: Is This Phone Number a Landline or Mobile Number?* Landline Mobile Owner 2: % Owned* Owner 2: Home Address* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Owner 2: SSN*Invalid SSN will delay the processing of the dealer application. Owner SSN is required for verification and other compliance purposes, and will be used to perform a soft inquiry on the owner’s credit report, which will not affect the owner’s credit score. Owner 3Owner 3 Name* First Last Owner 3: Personal Phone Number*Owner 3: Is This Phone Number a Landline or Mobile Number?* Landline Mobile Owner 3: % Owned* Owner 3: Home Address* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Owner 3: SSN*Invalid SSN will delay the processing of the dealer application. Owner SSN is required for verification and other compliance purposes, and will be used to perform a soft inquiry on the owner’s credit report, which will not affect the owner’s credit score. Owner 4Owner 4 Name* First Last Owner 4: Personal Phone Number*Owner 4: Is This Phone Number a Landline or Mobile Number?* Landline Mobile Owner 4: Home Address* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Owner 4: SSN*Invalid SSN will delay the processing of the dealer application. Owner SSN is required for verification and other compliance purposes, and will be used to perform a soft inquiry on the owner’s credit report, which will not affect the owner’s credit score. Owner Signature & ACH AgreementOwner 1 Agreement*By checking this box, I agree that for the purpose of establishing and maintaining a dealer relationship with Foundation Finance Company (FFC), I hereby authorize FFC to make all investigations deemed necessary, including but not limited to obtaining credit reports of any owner or principal of the dealer and obtaining other relevant information from or through third-party sources. Any reference listed on this application is authorized to release information about their experience with the dealer. This information is for FFC's internal use only to establish financial soundness and credit worthiness of dealer principals. I am authorized to provide this information on behalf of the dealer. I authorize FFC to initiate credit entries and to initiate debit entries and adjustments for any entries in error to the bank account provided them. I agree Owner 1 Name* First Last Owner 2 Agreement*By checking this box, I agree that for the purpose of establishing and maintaining a dealer relationship with Foundation Finance Company (FFC), I hereby authorize FFC to make all investigations deemed necessary, including but not limited to obtaining credit reports of any owner or principal of the dealer and obtaining other relevant information from or through third-party sources. Any reference listed on this application is authorized to release information about their experience with the dealer. This information is for FFC's internal use only to establish financial soundness and credit worthiness of dealer principals. I am authorized to provide this information on behalf of the dealer. I authorize FFC to initiate credit entries and to initiate debit entries and adjustments for any entries in error to the bank account provided them. I agree Owner 2 Name* First Last Owner 3 Agreement*By checking this box, I agree that for the purpose of establishing and maintaining a dealer relationship with Foundation Finance Company (FFC), I hereby authorize FFC to make all investigations deemed necessary, including but not limited to obtaining credit reports of any owner or principal of the dealer and obtaining other relevant information from or through third-party sources. Any reference listed on this application is authorized to release information about their experience with the dealer. This information is for FFC's internal use only to establish financial soundness and credit worthiness of dealer principals. I am authorized to provide this information on behalf of the dealer. I authorize FFC to initiate credit entries and to initiate debit entries and adjustments for any entries in error to the bank account provided them. I agree Owner 3 Name* First Last Owner 4 Agreement*By checking this box, I agree that for the purpose of establishing and maintaining a dealer relationship with Foundation Finance Company (FFC), I hereby authorize FFC to make all investigations deemed necessary, including but not limited to obtaining credit reports of any owner or principal of the dealer and obtaining other relevant information from or through third-party sources. Any reference listed on this application is authorized to release information about their experience with the dealer. This information is for FFC's internal use only to establish financial soundness and credit worthiness of dealer principals. I am authorized to provide this information on behalf of the dealer. I authorize FFC to initiate credit entries and to initiate debit entries and adjustments for any entries in error to the bank account provided them. I agree Owner 4 Name* First Last By submitting an application, you expressly consent and agree to receive communications (including but not limited to prerecorded or artificial voice message calls, text messages, and calls made by an automatic telephone dialing system) from FFC and any party acting on its behalf, regarding any partially or fully completed application that you submit or attempt to submit to FFC, any account that you establish with FFC, and any proposed or completed transaction associated with your account, at any telephone number that you provide to FFC or that FFC can reasonably associate with you, now and in the future, including cellular telephone numbers. FFC may also communicate to you via e-mail, fax, U.S. mail, or any other method allowed by law that does not require your consent. Dealer understands and agrees that FFC may monitor, record, and retain any communications between Dealer and FFC (and their respective representatives) for quality assurance and other permitted business purposes.
