Used Car Dealer Insurance Form Email(Required) Business Name(Required)DBAOwner Name(Required)Phone Number(Required)Business Address(Required)Mailing AddressCopies of Owner's, Spouse's, and Employee's Drivers LicensesMax. file size: 300 MB.Year Started(Required)Associations (If Any)ChooseUsed Car Dealers of UtahUtah Professional Towing AllianceNevada State Tow AssociationBNIOthersDealers Inventory ValueType of Dealer Retail Consignment Wholesale BHPH Other % of Sales on Salvaged VehiclesAverage Autos Sold MonthlyNumber of Dealer/Transporter PlatesDo you specialize in any specific brands or types of cars? Yes No If yes, please list the autos you specialize in:(Required)Do you have loaner vehicles? Yes No Are there any autos licensed to the business? Yes No Is your lot fenced? Yes No Do you have a lock box for keys & vehicle titles? Yes No Does your building and/or lot have a security system? Yes No Do you own another business? Yes No If yes, please describe your other business:Do you have any children aged 14-25? Yes No If yes, how many?Distance One-Way From AuctionFlooring LineChooseNextGear CapitalAutomotive Finance CorporationKinetic AdvantageOtherDo you have a personal auto policy? Yes No Do you own your building? Yes No Do you have a Triple Net Lease? Yes No Building ValueMortgageeYear BuiltSquare FootageHas your Roof, HVAC, Electrical, and/or Plumbing been updated in the past 15 years?Please specify which and the year it was updated.Have you had any claims in the past 5 years? Yes No If yes, how many?Business Personal Property Value The value of all the tools, equipment and personal property you have in your building.Property LeinholderDo you require assistance in obtaining your Loss Runs?(Required)Loss Runs are required by most carriers in order to bind insurance coverage. Sometimes, acquiring Loss Runs can take some time, so we like to get the process started right away to insure that you get what you need in a timely manner.Loss Runs & Current Policy DocumentsMax. file size: 300 MB.Please select what coverages you would like quoted or may have questions on:Please select all that apply. Earthquake Flood Inland Marine (Traveling Tools & Equipment) Workers Compensation Cyber Liability Employee Dishonesty Bond Δ
