WELCOME

Welcome to Tidewater Financing. We are incredibly excited to be partnering with you, and we look forward to building a strong relationship with your entire team.

Our goal is simple: To open up a whole new revenue stream for you. We’re going to help you say, “Yes,” to more people with less-than-perfect credit. And we’re going to help you say, “Yes” to more repeat customers, too.

As we move forward, count on our team to support your team every step of the way – with training, with troubleshooting, with technical support and more. After all, we’re more than your secondary financing company, we’re your partner in success.

So, let’s say, “Yes” to success. Let’s begin building your business in new and exciting ways. If you have any questions, please don’t hesitate to call.

To begin our onboarding process, complete the new merchant application in its entirety and submit back to our marketing department for review. A dealer service representative will then contact your offices for the next steps.

Welcome to the Tidewater family!

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Tidewater Finance Company | P.O. Box 13306, Chesapeake, VA 23325 | P: 866.785.0235 | F: 757.579.6424

BEST REGARDS,

George H. White III

National Sales Manager

Tidewater Finance Company

NEW MERCHANT

APPLICATION

Store Name

Street Address

City

State / Zip Code

Phone

Fax

# Of Locations

E-mail

Website

Goods Financed

Guarantees Offered

Where Are Goods Sold

Type of Advertising

ENTITY INFORMATION

Legal Business Name

Principal Place of Business

City

State / Zip Code

If A Subsidiary, Parent Entity’s Full Name

Address

Tax ID Number

Type of Ownership (Check One):

Sole Owner / Partnership
LLC / Corporation

State of Formation

Attach Business License

PRINCIPAL

Principal Name

Home Address

City

State / Zip Code

Phone

Email

Social Security Number

Date of Birth

Principal Name

Home Address

City

State / Zip Code

Phone

Email

Social Security Number

Date of Birth

POINT OF CONTACT1

Name

Title

Phone

Email

POINT OF CONTACT2

Name

Title

Phone

Email

ATTN: TIDEWATERMARKETINGDEPARTMENT

Email:
Phone: 866-785-0235

VOLUME

$
Annual Sales Volume (Total for All Locations)

$
Annual Sales Financed

Approval % From Primary Financing Source

# Of Credit Applications to Be Submitted To Tidewater On A Monthly Basis

$
Price Range of Goods

$
Average Ticket of Goods Financed

FINANCING OPTIONS

Primary Lender

Phone

Secondary Lender

Phone

Additional Lenders

Phone

Additional Lenders

Phone

BUSINESS / TRADE REFERENCES

Name

Phone

Address

Name

Phone

Address

BANKING REFERENCES

Name

Phone

Address

Name

Phone

Address

SIGNATURES

How did you hear about Tidewater?

I/We recognize that Tidewater may rely on my/our credit worthiness in considering this Application. I/We authorize Tidewater Finance Company, dba Tidewater Credit Services, to request and obtain additional information including my/our credit history, credit standing and consumer reports from credit reporting agencies.

Signature(s)

Date

Print Name(s)

Print Title

*Please return the completed new merchant application by emailing it to . For quick processing supply a copy of the credit application utilized by your primary financing source, a copy of your sales ticket or invoice as well as any other documents you currently use (i.e. – completion certificates, three day right to cancel forms). Thank You!

ADDITIONAL LOCATION 1

Store Name

Street Address

City

State / Zip Code

Phone

Fax

Contact

Title

E-mail

ADDITIONAL LOCATION 2

Store Name

Street Address

City

State / Zip Code

Phone

Fax

Contact

Title

E-mail

ADDITIONAL LOCATION 3

Store Name

Street Address

City

State / Zip Code

Phone

Fax

Contact

Title

E-mail

ADDITIONAL LOCATION 4

Store Name

Street Address

City

State / Zip Code

Phone

Fax

Contact

Title

E-mail

ADDITIONAL LOCATION 5

Store Name

Street Address

City

State / Zip Code

Phone

Fax

Contact

Title

E-mail

ADDITIONAL LOCATION 6

Store Name

Street Address

City

State / Zip Code

Phone

Fax

Contact

Title

E-mail

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Tidewater Finance Company | P.O. Box 13306, Chesapeake, VA 23325 | P: 866.785.0235 | F: 757.579.6424