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Are you ready to REVolutionize your dealership?

Todays date:

How did you find out about us?*

I was referred by a mutual connection

I found you online

I've been working with a Rev team member

I wish to sign up with:*

Endurance

Veritas

Please select ALL the boxes of the providers you'd like to sign with

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Service Contracts

Vertias Guard

Veritas Simplicity

Veritas EV

Veritas Exotic

Veritas Essentials

Veritas Select

Veritas Rec (RV program)

Veritas Sport (Powersports)

You will be set up with VSC by default.

This field is hidden when viewing the form

Ancillary Products

Tire and Wheel

5 in 1

Theft

Who Referred You?*

First Last

Email*

Rev Team Member*

Your Dealership:

Dealership Name*

Main Phone*

Website*

Address*

Street Address City State ZIP Code

Does this Dealership have more than one location?

Yes

Location #2 Name*

Location #2 Phone*

Address*

Street Address City State ZIP Code

Dealership is:

Independent

Franchise

Dealership is:

Independent Group

Franchise Group

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Dealership is:

Independent

Independent Group

Franchise

Franchise Group

Years in Business*

Select your DMS (Dealer Management System)*

CDK

DealerTrack

Reynolds & Reynolds

Other

"Other" DMS*

Do you have an E-Rater/Menu provider?*

Yes

E-Rater/Menu Company*

Do you offer BHPH Financing?

Yes

Average Monthly BHPH Sales

Do you offer Vehicles with Branded Titles?

Yes

Average Monthly Branded Title Sales

Do you have a shop?

Yes

Set up as Preferred Repair Facility?

Yes

Service Manager*

First Last

Email*

Phone*

Allow MSRP for Parts?*

Yes - increase our rates accordingly

No, cost for parts is sufficient

MSRP Rate increase is volume based, $50 - $150 per contract

Posted Labor Rate*

Labor time guide used:*

Labor Tax %*

Please do not use the % sign at the end of the number

Part Tax %*

Please do not use the % sign at the end of the number

Add Additional Diag time?

Yes - increase our rates accordingly

No, the covered 30 minutes is sufficient

How much time is needed to diag in each claim?

Veritas coveres 30 minutes of diag time per claim. If more time is required, indicate a number in hours above. A small rate adjustment will apply ($50-$100 per contract)

Basic Sales & Reconditioning Info

Average Monthly New Vehicle Sales*

Average Monthly used Vehicle Sales*

Average Monthly Vehicle Sales*

Average Monthly VSC Sales*

Expected Monthly VSC Sales*

Expected Monthly ANC Sales*

Per Vehicle Retail*

Average amount spent reconditioning per unit*

Does your dealership use a reconditioning checklist?*

Yes

Are all known conditions repaired?*

Yes

Do all vehicles receive an oil change*

Yes

Is reconditioning done in-house?*

Yes

Name the repair facility that reconditions your Vehicles.*

Asian Inventory*

0% - 10%

11% - 33%

34% - 50%

51% +

Domestic Inventory*

0% - 10%

11% - 33%

34% - 50%

51% +

European Inventory*

0% - 10%

11% - 33%

34% - 50%

51% +

0-80K Miles Inventory*

0% - 10%

11% - 33%

34% - 50%

51% +

80K-125K Miles Inventory*

0% - 10%

11% - 33%

34% - 50%

51% +

125K-200K Miles Inventory*

0% - 10%

11% - 33%

34% - 50%

51% +

Service Contract Success Rate*

0% - 10%

11% - 33%

34% - 50%

51% +

GAP Contract Success Rate*

0% - 10%

11% - 33%

34% - 50%

51% +

Theft Program Success Rate*

0% - 10%

11% - 33%

34% - 50%

51% +

Sales Tax Certificate

Drop files here or

Max. file size: 512 MB.

Your state requires EDS to have a sales certificate on file.

Ownership Details

Dealer Entity Type*

LLC Type*

Dealer EIN*

How Many Owners are there?*

One

Two

Three or more

State License #

Dealership DBA

Owner 1 Details

Owner 1*

First Last

Email*

Phone*

Title*

Equity Share %*

Is also:

General Manager

Sales Manager

Finance Manager

Accounts Payable

Owner 2 details

Owner 2*

First Last

Phone

Role

Equity Share*

Owner 3 Details

Owner 3*

First Last

Phone

Role

Equity Share*

Your Team

1. Don't have the role? Put N/A instead. 2. Please Provide at least 2 unique contacts in order for Paylink to be approved.

General Manager*

First Last

Email*

Phone*

Sales Manager*

First Last

Email*

Phone*

Finance Manager*

First Last

Email*

Phone*

Accounts Payable*

First Last

Email*

Phone*

Other (for Paylink)

First Last

Phone

Who is the signer?

Owner

General Manager

Sales Manager

Finance Manager

Other Authorized Signer

My Specific Role*

You chose "Other Authorized Signer." Tell us more about role and responsibilities at the dealership.

Dealer VSC Rate Adjustment Breakdown

Retail Markup*

Yes

Retail Markup 3 Month:

Retail Markup 6 Month:

Retail Markup 12+ Month:

Retail Markup for GAP

Dealer Pack*

Yes

Dealer Pack 3 Month:

Dealer Pack 6 Month:

Dealer Pack 12+ Month:

Dealer Pack Markup for GAP

Dealer Over Remit ***

Yes

**Additional Dealer Over Remit Information: W9(s) required for all Dealer Over Remits. Over Remit checks are sent monthly to Payee, based on previous months' fully funded contracts. All Over Remits are subject to Chargebacks.

How many Payees?

Payee 1 Name

First Last

Payee 1, 3 month

Payee 1, 6 month

Payee 1, 12 month

Payee 1, GAP

Payee 2 Name

First Last

Payee 2, 3 month

Payee 2, 6 month

Payee 2, 12 month

Payee 2, GAP

Payee 3 Name

First Last

Payee 3, 3 month

Payee 3, 6 month

Payee 3, 12 month

Upload Payee W9(s)***

Drop files here or

Max. file size: 512 MB.

Download blank W9 forms here, then come back and upload them above.

Banking info

Lender Information

Please list the lenders your finance department utilizes to ensure the correct forms are set up for eContracting at your dealership. Identifying all captive lenders is crucial, as any omissions may lead to funding delays or rejections.

Ally

Chase

Wells Fargo

Cyprus Credit Union

Mountain America Credit Union

America First Federal Credit Union

Other

"Other" Lender Name

Set up Veritas Paylink / Endurance ACH Dealer Over Remit?*

Yes - Set me up now

No - I'll set that up later

Bank Name

Routing Number

Account Number

Account Type

Checking

Savings

Banker Name

First Last

Bank Employee Phone

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Dealer Bank Contact Title

Bank Address

Street Address City State

Copy of Voided Check

Drop files here or

Max. file size: 512 MB.

Signer Agreements

My Name*

First Last

Email*

Phone*

My Role*

Owner

General Manager

Sales Manager

Finance Manager

Other Authorized Signer

Day

Month

Year*

Veritas Dealer Agreement - VSC*

Veritas Dealer Agreement - Service Contracts*

I accept the Veritas Dealer Agreement - Service Contracts terms and services

Veritas Branded Title/Lemon Law*

Veritas Branded Title / Lemon Law Addendum*

I accept the Veritas Branded Title / Lemon Law Addendum terms and services

Veritas Dealer Agreement-GAP*

Veritas Dealer Agreement - (GAP) Guaranteed Asset Protection*

I accept the Veritas Dealer Agreement - Guaranteed Asset Protection terms and services

AAPI Dealer Marketing*

APPI Dealer Marketing and Administration Agreement*

I accept the APPI Dealer Marketing and Administration Agreement terms and services

Paylink Direct*

Paylink Direct - Dealership Agreement*

I accept the Paylink Direct Dealership Agreement terms and services

Veritas Dealer Agreement - VSC*

Endurance Dealer Agreement - Service Contracts*

I accept the Endurance Dealer Agreement - Service Contracts terms and services

Veritas Dealer Agreement - VSC*

Endurance Dealer Agreement - (GAP) Guaranteed Asset Protection*

I accept the Endurance Dealer Agreement - (GAP) Guaranteed Asset Protection terms and services

Veritas Dealer Agreement - VSC*

Endurance Dealer Agreement - GAP Rate Adjustments*

I accept the Endurance Dealer Agreement - GAP Rate Adjustments terms and services

Electronic Signature Consent*

Electronic Signature Consent

I accept the Electronic Signature Consent
terms and services

Opt-in to digital marketing

yes

Consent to receive marketing texts and emails from Rev Dealer Resources

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Are you ready to REVolutionize your dealership?

Your Dealership:

Basic Sales & Reconditioning Info

Sales Tax Certificate

Ownership Details

Owner 1 Details

Owner 2 details

Owner 3 Details

Your Team

Dealer VSC Rate Adjustment Breakdown

Banking info

Signer Agreements

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