USA Dealer Power Up Binder - Flipbook - Page 41
Lender: Sheffield Financial, a division of Truist Bank
P.O. Box 25127
Winston Salem, NC 27114
ATTN: Implementation Department
Telephone: 800-438-8892
Fax: 877-303-4653
Email: Dealersetup@sheffieldfinancial.com
ACKNOWLEDGEMENT AND AGREEMENT TO
SHEFFIELD FINANCIAL DEALER STANDARDS
By signing, Dealer certifies (a) the Dealer information provided below is accurate, (b) having received a
complete copy of the Dealer Standards Agreement, and (c) having read the entire Dealer Standards
Agreement and agrees to the terms therein. NOTE: AUTHORIZED SIGNER MUST PROVIDE
PHYSICAL SIGNATURE TO DOCUMENT.
ELECTRONIC SIGNATURES ARE NOT
ACCEPTABLE.
Authorized Signer: _______________________________________________________
Print Authorized Signer’s Name: ____________________________________________
Authorized Signer’s Title: __________________________________________________
Date Signed: ____________________________________________________________
Dealer Name (Legal Name): __________________________________________
DBA (if applicable): _____________________________________________________
Organization Type (C-Corporation, S-Corporation, LLC-Limited Liability Company,
Partnership, Sole Proprietor, etc.): ___________________________________________
Organized and Existing under the Laws of the State of: _________________________
Physical Address: ________________________________________________________
Mailing Address: _________________________________________________________
EIN#: _________________________________________________________________
Telephone:______________________________________________________________
Fax: ___________________________________________________________________
Email:__________________________________________________________________
Dealer Standards 12-04-22
Page 12 of 12
