Certified Master Dealer® Application

The following questions must be answered completely. Any applications received with unanswered questions will be returned for completion prior to consideration for approval. There is a $125 application fee that must accompany the application. This application fee is non-refundable regardless of approval.
* Please indicate the class that you would like to attend:
  November 20-23 , 2008
    
First Name,
MI, Last Name: 		________________________________________________________
Title / Position:
________________________________________________________
Company Name:
________________________________________________________
Mailing Address:
________________________________________________________
City, State, Zip:
________________________________________________________
Phone, Fax:
________________________________________________________
Email, Website:
________________________________________________________
Dealer License #:
________________________________________________________
NIADA Membership#:
________________________________________________________
 
 
The following required documentation must be included with this application:
  • Copy of your Dealer License
  • A short biographical sketch describing your professional experience over the last five years. (If you have been a licensed dealer for more than five years you may list the date you founded your dealership and include only other pertinent information you wish to disclose).
  • Current Dealership financial statements. Note: Financial Statements will be safeguarded and made available to third parties only with your specific written authorization. Please see the enclosed Authorization to Release Financial Information.
  • The number of units you sold in the preceding 12 months or in a defined 12-month period
  • Three letters of recommendation
 
 
Please answer all of the following questions:
1.
 Are you the "named" or one of the "named" dealer principal(s) of the dealership (Corporate Officer)? Yes    No   
2.
 Are you a N.I.A.D.A. member in good standing?
How many years have you been a member? 		Yes   
____ years 		No   
3.
 Are you approved or licensed as an automobile dealer by your state and/or local unit of government? Yes    No   
4.
 Have you ever been convicted of a felony?
If yes, please explain. (Use back of this page) 		Yes    No   
5.
 Is your established place of business occupied by you, as a dealer principal, continuously on a regular basis? Yes    No   
6.
 Are books and records kept at that location? Yes    No   
7.
 Is your "majority share of business" transacted at that location? Yes    No   
8.
 Are your business hours posted? Yes    No   
9.
 Are your business hours consistent with state regulations? Yes    No   
10.
 Do you have 50 or more passenger cars and/or trucks in inventory on a continuous basis? Yes    No   
11.
 What is the average vehicle inventory kept at your location? __________
12.
 Do you retail or lease 240 units per year or have annual gross sales of at least $1,000,000.00? Yes    No   
13.
 Do you have a minimum of five years automobile retail experience as a dealer principal? Yes    No   
 
 
METHOD OF PAYMENT: Enclosed is a check made payable to NIADA
Visa                     MasterCard                     American Express                     Discover


_________________________________
Cardholder's Name

_________________________________
Card Number and Security Code


_________________________________
Expiration Date

_________________________________
Cardholder's Signature
 
 
CERTIFIED MASTER DEALER® PROGRAM
AUTHORIZATION TO RELEASE FINANCIAL INFORMATION
 
As the number of financial institutions willing to accept the risk of lending to non-prime customers started to diminish, NIADA began working with lenders to develop parameters for lending programs that would meet the goals and objectives of both NIADA members' and lender's. As part of the Certified Master Dealer® Program application process, your Dealership agreed to provide NIADA with confidential information regarding the Dealership's financial condition, including copies of current financial statements. The purpose of this Authorization to Release Financial Information is to obtain your permission for NIADA to provide copies of your Certified Master Dealer® Application and financial statements upon successful completion of the Certified Master Dealer® Program to lenders in order to determine whether the Dealership is eligible to participate in lending programs established for our segment of the industry.

If you prefer that NIADA not share your Dealership's Application and financial information with lenders, you may direct us not to do so. If you are comfortable with NIADA sharing this information with lenders, however, we may only do so with your specific written authorization. This authority shall remain in full force and effect until NIADA has received written notification of your wish to terminate such authorization. Please allow four (4) weeks for NIADA to process your request. If you revoke your authorization, NIADA will no longer disclose your financial information for the reasons set forth herein.

By signing below, you acknowledge that you have read this Authorization to Release Financial Information and you:

AUTHORIZE the release of your Dealership's Certified Master Dealer® Application and financial information, including financial statements, to lenders for the purpose of determining whether it qualifies for special lending programs.
DO NOT AUTHORIZE the release of your Dealership's Certified Master Dealer® Application and financial information to lenders for the purpose of determining whether it qualifies for special lending programs.
 
_________________________________________________ ______________________
Authorized Representative's Signature Date
_________________________________________________
Print Name and Title
 
You may call 1-800-682-3837 if you have any questions concerning
this Authorization to Release Financial Information.
 
 
For Office Use Only
Date Received
Approved
Send this application, $125.00 non-refundable application fee and all documentation to:
Executive Vice President
NIADA
2521 Brown Blvd.
Arlington, TX  76006