Confidential Dealer Application

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Dealership Information




Officer/Owner Information




Partner/Co-Owner Information




References

Notice of right to request specific reason(s) for credit denial

If your application for business credit is denied you will have the right to a written statement of the specific reasons for the denial. To obtain the statement, please contact CarBucks Floor Plan, 381 Halton Rd. Greenville, SC 29607 within 60 days from the date you are notified of our decision. We will send you a written statement of reasons for the denial within 30 days of receiving your request for the statement.

I hereby certify the information contained within this application and on any accompanying financial statements is true, complete and accurate. I authorize GrandSouth Bank DBA CarBucks to obtain credit information for a credit bureau and any financial institution, trade creditor that I have provided as well as any other credit investigation that GrandSouth Bank DBA CarBucks deems necessary. I authorized GrandSouth Bank DBA CarBucks to contact any third persons and to disclose information, including information contained within this application for the purpose of among other things, obtaining inter creditor agreements and protecting GrandSouth Bank DBA CarBucks security investment.

 

By signing electronically below, you confirm you agree to the terms listed above.




By checking this box, I affirm that all information provided on this application is complete and accurate to the best of my knowledge. I understand that I may need to provide additional documentation to support my responses. I understand that any misrepresentation or false information given may result in disqualification from the CarBucks program.