Application Questionnaire

yrs
yrs
How many customer vehicles stored at one time?
vehicles
vehicles
Square footage of storage
sq. ft.
sq. ft.
Lot security
check all that apply
check all that apply
Repossession Percentages
%
%
%
%
Percentage of repossessions performed
%
%
$
Gross reciepts
$
$
Need loss (accident) history for the past four years
Will also need current loss run report for the past 4 years. Please request loss runs from prior agent/insurance companies and forward as soon as possible.
Files must be less than 2 MB.
Allowed file types: txt rtf pdf doc docx odt.
$
$
$
$
List of Drivers
yrs
Have more than 10 drivers? You can upload your driver information here.
Files must be less than 2 MB.
Allowed file types: txt rtf pdf doc docx odt xls xlsx.
Vehicle list
$
More than 5 vehicles? You can upload your vehicle information here. We need the following information. Year, Make, Model, Tow Package,VIN, GVW and Value
Files must be less than 2 MB.
Allowed file types: txt rtf pdf doc docx xls xlsx.