DEALER FINANCING APPLICATION

This dealer application will be used for the purposes of determining your eligibility for dealer/inventory finance program
from National Powersports Financial (NPF)
PROVIDE PRODUCT AND CREDIT PROGRAM REQUEST (PLEASE PRINT OR TYPE):
Requested Credit: dealer/inventory finance program, select option you would like to be considered for
9 NFP Installment Credit Program
9 NFP Revolving Credit Program
DEALER/ENTITY TYPE AND REQUIREMENTS (SELECT APPROPRIATE CATEGORY):
Check which applies:

9 Corporation
9 Sole Proprietorship
9 General Partnership

9 Limited Liability Company

9 Limited Partnership

CORPORATION/NAME OF COMPANY OFFICERS:

Provide Articles of Incorporation
President: ________________________________________
Secretary: ________________________________________

LIMITED LIABILITY COMPANY (member names):

Provide Articles of Formation & Operating Agreement
Member: ________________________________________
Member: ________________________________________

PROPRIETORSHIP/ NAMES OF OWNERS:

Provide Tax Return
Owner: ___________________________________________
Owner: ___________________________________________

PARTNERSHIP/ NAMES OF PARTNERS:

Provide Partnership Agreement
PARTNER: ________________________________________
PARTNER: ________________________________________

Has Company ever declared Bankruptcy: 9 Yes 9 No

Has Company/Officer applied with NFP for credit/ financing

before: : 9 Yes 9 No
If yes, name of officer: ____________________________________

If yes, provide explanation on separate sheet of paper.

Dealer Information: (Please print or type)

Legal Business/Dealer Name: _______________________________

Federal Tax ID number:______________________________________

D/B/A Name: _______________________________________________

State Organization ID: ______________________________________

Phone #: ___________________________________________________

State of Incorporation: ______________________________________

Contact Name/Owner: ______________________________________

Fiscal year end:_____________________________________________

E-mail Address:_____________________________________________

Year business established: __________________________________

Principal Place of Business/

Years under present owner:_________________________________

Address:___________________________________________________

Business website address (if any): ___________________________

City:_______________________________________________________

Insurance Company Name: __________________________________

State, Zip, and County: _____________________________________

____________________________________________________________

Dealer Property Information: 9 OWN

Contact Info/Agents Phone #: _______________________________

9 RENT

If rent, name of landlord:____________________________________

Amount of Coverage: _______________________________________

Contact: ___________________________________________________

Renewal Date: ______________________________________________

Phone #: ___________________________________________________

Property and Casualty Deductible: __________________________

ADDITIONAL LOCATIONS WHERE INVENTORY WILL BE STORED:

ADDRESS: __________________________________________
CITY: __________________ STATE: ___________ ZIP:______

Property Information: Dealer 9 OWNS 9 RENTS

If rent, name of Landlord:_______________________________
Contact/Phone #: ______________________________________

ADDRESS: __________________________________________
CITY: __________________ STATE: ___________ ZIP:______

Property Information: Dealer 9 OWNS 9 RENTS

If rent, name of Landlord:_______________________________
Contact/Phone #: ______________________________________

ADDRESS: __________________________________________
CITY: __________________ STATE: ___________ ZIP:______

Property Information: Dealer 9 OWNS 9 RENTS

If rent, name of Landlord:______________________________
Contact/Phone #: _____________________________________

ARE ADDITIONAL LOCATIONS INSURED: 9 Yes 9 No

If yes, Insurance Company Name: ___________________________ Contact Info/Agents Phone #: _________________________________
Amount of Coverage: _________________________________________ Renewal Date: ________________________________________________
Property and Casualty Deductible: ____________________________