Welcome to Stahl Stoller Meyer Insurance Center

For Banks & Dealers

Auto & Equipment

Customer Name:

Mailing Address:

Street

City State Zip

Year Make and model:

VIN (Vehicle Identification Number):

Trade-In:
Year Make and model:

VIN (Vehicle Identification Number):

Loan:

Lender Name:

Mailing Address:

Street

City State Zip

Lease:

Lessor Name:

Mailing Address:

Street

City State Zip

Bank/Dealer Contact Information:

Bank/Dealer Name:

Bank/Dealer Mailing Address:

Street

City State Zip

Bank/Dealer Phone:

Bank/Dealer Fax:

Stahl Stoller Meyer Insurance Center: Paulding Location: 419-399-3777 • Van Wert Location: 419-232-4776