GAP Application

GAP Application

 

 

 

 

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Type of Institution - Check all that apply

  Commercial Bank

  Finance Company

  Savings Bank

  Credit Union

 

Instrument - Check all that apply

  Loan

  Balloon Loan

  Lease

 

Portfolio Information

 

 

 

 

 

 

 

 

 

 

 

Origination Source

  Direct

  Dealer

Geographic Origination - Four Largest States

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Portfolio Information

   YTD Last Year 2 Years Ago
 # Instruments Made
 
  # Instruments Outstanding
 
  Max Instrument Amt.
 
  Avg. Instrument Amt.
 
  Avg. Sales Price as % of MSRP/NADA Retail
 
  Avg. Down Payment as % of Sales Price
 
  Min Down Payment as % of Sales Price
 
  Avg. Original Term (months)
 
  Avg. Actual Term (months)
 
  Maximum Original Term
 
  Avg. APR
 
  # of Total Losses Reported To You
 
  # of Thefts Reported To You
 
  Avg. Deficiency if Insurance Settlement is Insufficient to pay off the Instrument

Residual Value Publication Used - (If Lease or Balloon Loan)

  ALG

 

 

  Black Book

 

 

 

Type of Coverage Requested

  Blanket Non-Reinsured

  Blanket Reinsured

  Voluntary Non-Reinsured

  Voluntary Reinsured

  Other

 

If reinsured, do you own a reinsurance company that you wish to use?  

Point of Sale

  At Applicant's Locations

  At Dealer

  Other

 

Insurance Information

Do you require that the borrower carry adequate insurance naming you as the loss payee?

Do you require written evidence of this insurance?

Is insurance monitoring now provided by a service company?

   

 

Your Current GAP Insurance

Do you currently have GAP insurance on your portfolio?

   

Is it reinsured?

   

 

  Blanket

  Optional To Borrower

Existing GAP Insurance Results Summary

   YTD Last Year 2 Years Ago
 Premium Paid to Carrier
 
  Losses Paid By Carrier
Excluding Loss Adjustment Expenses
 

Agent Information