Franchise Dealer Applicationbkreiner2020-11-10T18:03:43-05:00

Franchise Dealer Application

If you have any questions, please contact your Territory Manager or email us at support@apex.loans.

ALL FORMS MUST BE COMPLETED BY THE PRINCIPAL OWNER OR PERSON WITH SIGNATURE AUTHORITY

Name of Person Completing This Form *

Email of Person Completing This Form *

Corporation Name/Legal Entity *

DBA/Dealership Name *

Mailing Address

Address Line 1

Address Line 2

City

State

Zip Code

Street Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone Number *

Primary Fax Number

Principal Owner *

Principal Owner Email *

General Manager *

General Manager Email *

Title Clerk *

Title Clerk Email *

Finance Manager/Director *

Finance Manager/Director Email *

Email for Funding Notices *

Retail Units Sold Per Month

New Retail Units Sold Per Month *

Used Retail Units Sold Per Month *

Top Three Lenders

Top Lender 1

Top Lender 2

Top Lender 3

Flooring Company Name

Flooring Company Contact Person Name

Flooring Company Phone Number

Flooring Company Address

Address Line 1

Address Line 2

City

State

Zip Code

Account IDs

ELT# *

Dealer Track ID

Route One ID

Funds Transfer Agreement & Authorization

Name and Brand of Bank *

Bank ABA Number *

Bank Checking Account Number *

Bank Branch Phone Number *

Bank Postal Address *

Address Line 1

Address Line 2

City

State

Zip Code

Apex Sales Representative Name *

If none, put your own name

Apex Sales Representative Email

If none, put your own email

Document Uploads

Voided Check for Bank Account Information *

Click or drag a file to this area to upload.

Department of Motor Vehicle or Dealer License *

Click or drag a file to this area to upload.

Finance License or Business License *

Click or drag a file to this area to upload.

Depending on state requirements, add occupancy certificate, service license, business license, or finance license.

Certificate of Incorporation (if applicable) *

Click or drag a file to this area to upload.

Surety Bond for Dealer (Insurance) *

Click or drag a file to this area to upload.

Agreement of Entitlement (California Only)

Click or drag a file to this area to upload.

Sign a PDF of the California Entitlement form and upload.

Electronic Signature Agreement

By selecting "Submit", you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual/handwritten signature on this Agreement. By selecting "Submit" using any device, means or action, you consent to the legally binding terms and conditions of this Agreement. You further agree that your electronic signature on this document is as valid as if you signed the document in writing. You also agree that no certification authority or other third party verification is necessary to validate your electronic signature, and that the lack of such certification or third party verification will not in any way affect the enforceability of your electronic signature or any resulting agreement between you and Apex Auto Lending. You are also confirming that you are have signature authority to enter into this Agreement.

Agreement to Electronic Signature *

I accept the Agreement to Electronic Signature.

Funds Transfer Agreement & Authorization *

I have read and accept the Funds Transfer Agreement & Authorization.

Acceptance of Dealer Agreement *

I have read the Dealer Agreement, I am authorized to make this agreement, and I accept the dealer agreement. If the terms change, we will notify you.