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SD EForm - 2227
V1
HELP
South Dakota Electronic Lien and Title Lender Application
This application, which must be submitted to the Department by the Provider
on behalf of the lender, is to be used by any company that is in the business of
lending money to enroll, cancel, or change information in South Dakota’s ELT
program. If the lender has multiple branches and wishes for each branch to
have an account, complete the additional branch worksheet attached to the application. Any title that is
issued with a lien after implementation will be issued electronically and no lienholder notifications will be
sent. A VIN Inquiry Search function can be used to confirm notation of a lien on the Department website
for non-participating lenders.
A
Action Requested-To Be Completed By Lender (Check One)
Initial Enrollment in ELT
Change of Lender Address
Removal from ELT Program
Change of Provider
Change of Lender Name
B
Lender Information-To Be Completed by Lender
Dealer Government Individual Trust
Lender Type :
Company
Lender ID:
Branches
(FEIN, SSN, SDDL or SDID)
(See Section X for branches)
Lender Name
Mailing Address
City
State
Zip Code
Printed Name of Authorized Representative
Telephone Number
Date
for Lender
Email address of Authorized
Provider (See Authorized
Authorized Representative’s
Representative for Lender
Provider List)
Signature
Authorized Provider List
Assurant
DealerTrack Collateral Management
Decision Dynamics, Inc.
2975 Breckinridge Blvd.
Services
4723C Sunset Blvd
Duluth, GA 30096
9750 Goethe Road
P.O. Box 2078
Phone: 678-694-9885
Sacramento, CA 95827
Lexington, SC 29071
Fax:
678.694.9882
Phone: 916-854-5406
Phone:803-808-0117
Fax:
916.638.5301
Fax:803-808-3780
PDP Group, Inc.
VINtek, Inc.
10909 McCormick Rd
Robert Christini
Hunt Valley, MD 21031
1735 Market Street, Suite 900,
Phone:800-666-3008
Philadelphia, PA 19103
Attn: Erica Miley
Phone:888-846-6500 Option 9 – Sales
Fax: 215-563-3326