PDF FIFS Account Manager: Corporate Name d/b/a - First Investors

Dealer Track ID___________ Route One ID____________

DEALER INFORMATION SHEET

Dealer ID: _____________ Activation Date: _________

FIFS Account Manager: __________________

Corporate Name______________________________________________________ Phone #____________________________

d/b/a _______________________________________________________________ Fax # ______________________________

Address_________________________________________________________________________________________________

(Street)

(City)

(State)

(Zip)

DEALER GROUP

Is this dealer in a Dealer Group?: YES

NO

What's the name of the group? _________

_ __

How many dealers are in the group? ____________

Please use the included dealer list (after Exhibit b) to list all dealers in group or include a list of dealers.

KEY PERSONNEL General Manager ________________________________ Sales Manager___________________________________

Comptroller________________________________ Finance Director_____________________________

FINANCE DEPARTMENT

Special Finance Manager: ______________________ Cell Phone: _________________ Email: ___________

Preferred Method of Contact: __________________________________________________

Finance Phone Line: __________________________

Finance Fax Line: ____________________________

_______

FUNDING CONTACT

Funding Manager: ______________________ Cell Phone: _________________ Email: ___

________

Preferred Method of Contact: __________________________________________________

Finance Phone Line: __________________________

Finance Fax Line: ____________________________

_______

HISTORY

Years Dealership Established: ____________

Years Under Present Ownership:_______________

List All New Car Franchises: _______________________________________________________________________

VSC Company Product Name: ____________________________________ Administrator Name:____________________________ Underwriter: ______________________________________ Rating: _______________________________________

GAP Company Product Name: ____________________________________ Administrator Name: ____________________________ Underwriter: ______________________________________ Rating: _______________________________________

RIC Company DMS Provider _______________________________________ RIC Format: LAW or Bank Generic_____ eForms _ __ eSignature____ If RIC is eSignature, is RIC label for lienholder marked `Original': Yes___ No___

Dealership Doc Fee Disclosure

Our Dealership charges a documentation fee of $____ _. This fee is collected for all vehicle purchases regardless of the

financing terms or if the purchaser paid cash.

RETURN CONTRACT INFORMATION

Please provide account numbers for the overnight service you prefer.

Name

Account #

Fed Ex

UPS

____________________________________________ Dealership Manager Signature

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