Credit Line Application - Ally

[Pages:1]A. Dealer Inf ormation

Dealer Name

Primary Dealer #

Phone # Email Address

Contact Name Fax #

B. Applicant Information (Submit application for each entity expected to use line)

Company Name

Tax ID #

Company Physical Address/Ci ty/ Sta te/Zi p

Email Address

Contact Name Phone #

C. 12-Month Delivery Forecast

Replacement Vehicles # Total Credit Line Amount Requested $ Expected Delivery Dates

Additional Vehicles #

Average Vehicle Price $

(Including current outstanding amount owed to Ally Financial, Inc. and its affiliate ("Ally") ) min. $250K

(# and dates)

D. Indicate Whether Business is a:

Sole Proprietorship

Partnership Corporation

Other

Not-for-Profit Organization Yes No

E. Of f icers, Directors or Partners (At a minimum, list all with 25% or more interest)

Name

Title

Name

Title

Name

Title

F. Vehicle Usage

% Interest in Business

%

% Interest in Business

%

% Interest in Business

%

To whom are vehicles assigned? (i.e. sales, directors, etc.) Vehicle use (i.e. delivery, sales visits, field, etc.) Vehicle type: Car Truck Van Tractor

Trailer

Type of upfit (If Applicable):

G. Insurance Carrier f or Automobiles

Name

Coverage

Deductible

H. Submit the following information, as indicated (Additional information may be required):

Cu rre n t Ye ar Fin an cial State me n ts (Cu rre n t Balan ce Sh e e t an d In co me State me n t) Pre vio u s Two -Ye ar-En d Fin an cial State me n ts (CPA Pre pare d State me n ts o r Tax Re tu rn s Pre fe rre d) Cro ss De fau lt / Cro ss Co llate raliza tio n Agre e me n t (If Applicable )

Guarantor / Co-Buyer (If Applicable)

Sign e d Pe rso n al Cre dit Applicatio n o n Gu aran to r Sign e d Pe rso n al Fin an cial State me n t

I. Bank / Fleet Financing References

Company

Company

Address Address

Credit Line

Contact

Phone #

Fax #

$

Credit Line

Contact

Phone #

Fax #

$

USA Patriot Act Notice IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT AT ALLY.

To help the United States Government fight terrorism and money laundering, Federal law requires us to obtain, verify and record informati on that identifies

each business or entity, which opens an account or establishes a relationship. What this means for you: when you open an account or establish a

relationship, we will ask for your business name, a street address and a tax identification number or other identifying docum ents that will assist us to

identifying and/or verify your business. We appreciate your cooperation . The undersigned applicant irrevocably and continuously authorizes Ally to obtain

from and provide to third persons any and all types and kinds of information concerning the Applicant, including, without lim itations, credit, financial and

business information whether of direct actual experience or obtained from other sources.

We're here to help!

Call us with any questions at:

Signed this By

of

(Signature)

, 20

972-537-2124

(Exact Legal Name of Business)

Please fax the completed

application form to us at:

(Title)

866-597-4798 or

Email to Credit.Line@

IMPORTANT: Proprietor, Partner, or in the case of a Corporation, a duly authorized officer must sign. ? 2021 Ally Financial. All rights reserved. Ally is a registered service mark of Ally Financial.

2021/06 ACSCLA13

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