Please fill in this form electronically, then either copy and email to us at dealerapp@allamericancap.com -or-  print it out and fax to us at 404.949.0060 DEALER INFORMATION Dealer Name: (as appears on dealer license) Business Type : Corporation Partnership Proprietorship --- Select One --- Date Established: Dealer License #: Subsidiary Names: Address:: City: State: Zip: Fed ID#: Office Contact: Phone: Fax Number: Mobile: SUBSIDIARY, AFFILIATE, or DBA (One of Two): Name: Business Type : Corporation Partnership Proprietorship --- Select One --- Date Established: Dealer License #: Subsidiary Names: Address:: City: State: Zip: Fed ID#: Office Contact: Phone: Fax Number: Mobile: SUBSIDIARY, AFFILIATE, or DBA (Two of Two): Name: Business Type : Corporation Partnership Proprietorship --- Select One --- Date Established: Dealer License #: Subsidiary Names: Address:: City: State: Zip: Fed ID#: Office Contact: Phone: Fax Number: Mobile: CORPORATE PRINCIPALS: Name: Title: Date of Birth: SSN: % Ownership: Home Address:     Name: Title: Date of Birth: SSN: % Ownership: Home Address:     Name: Title: Date of Birth: SSN: % Ownership: Home Address:     Name: Title: Date of Birth: SSN: % Ownership: Home Address: Floor Planned With: Lending Institutions You Are Selling Contracts To:   Date You Started Dealer-Controlled Financing: Avg Sales / Month: Avg Amount Financed: Avg Amount Down: Avg Units in Inventory:   Have these accounts been pledged as security to any outside company?:   Yes No Average Interest Rate Charged: Method of Calculation:   Are your accounts computerized? Yes No   If so, which software: BANK REFERENCE: Name: Address: Contact: Phone: BUSINESS REFERENCE 1: Name: Address: Contact: Phone: BUSINESS REFERENCE 2: Name: Address: Contact: Phone: PERSONAL REFERENCE:: Name: Address: Contact: Phone:   FLOORPLAN INSTITUTION: Name: Address: Contact: Phone: AUCTION: Name: Address: Contact: Phone: Are there any holders of any liens against the Dealership and any affiliates and subsidiaries, including the pledged collateral? Lien Holder: Amount: Lien Holder: Amount: Lien Holder: Amount: Lien Holder: Amount: Lien Holder: Amount: Please forward a copy of the following information to All-American Capital Group, LLC. Dealer License Dealer Bond Most Recent Banking Statement Banking & Finance License Sales Tax Certificate Dealer Financial Statement-Manufacturers Last Years Federal Income Tax Returns                              Copy of Last Two Months P&L Statements                              Copy of Voided Company Check        Copy of Current Inventory List                             Copy of Lease (if applicable) I AUTHORIZE ALL-AMERICAN CAPITAL GROUP, LLC TO ORDER INVESTIGATIVE CONSUMER REPORTS, CREDIT REPORTS, CRIMINAL REPORTS AND/OR INFORMATION FROM MY REFERENCES WHICH INCLUDE BANKING REFERENCES REGARDING MYSELF OR THIS COMPANY. I UNDERSTAND THAT THE FEDERAL PRIVACY ACT, OR OTHER LAWS, RULES OR REGULATIONS MAY PROHIBIT YOUR DISCLOSURE OF SUCH INFORMATION WITHOUT MY EXPRESS APPROVAL AND AUTHORITY WHICH I HEREIN GRANT. I REQUEST YOUR COOPERATION WITH ALL-AMERICAN CAPITAL GROUP, LLC. Name: Title: Home Addess : Date: Dealer Account Rep: