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Legal Name of Business
*
Federal Tax ID
*
State of Formation/Incorporation
*
Legal Street Address, City & State
*
Legal Zip Code
*
Legal Entity Type
*
Sole Proprietorship
Publicly Traded LLC
Privately Held LLC
Publicly Traded Corporation
Privately Held Corporation
Government
Tax Exempt
Publicly Traded Partnership
Privately Held Partnership
Financial Institution
Private Corporation or LLC are most common for dealerships
Date Established
*
Year/s at that Location
*
Chain/Non-Chain
*
Single Outlet
Chain/Multi-Location
Customer Service Phone Number
*
Fax Number
If available
Main Person of Contact
*
First
Last
Title/Role
*
Email
*
Main Person of Contact Phone Number
*
Submit
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