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    Personal Information

    Salutation

    Gender

    First Name *

    Last Name *

    Phone *

    Email *

    Marital Status *

    Birth Date * Format (yyyy-mm-dd)

    SIN

    Class 5 Driver License or Class 7 Learner? *

    Current Address

    Address *

    City *

    Province *

    Postal Code *

    How Many Years? *

    How Many Months? *

    Previous Address (If current address less than 2 years)

    Address

    City

    Province

    Postal Code

    How Many Years?

    How Many Months?

    Home Rent/Mortgage Information

    Home Status *

    Monthly Payment *

    Current Employment

    Type *

    Employer *

    Occupation *

    Employment Address *

    City *

    Province *

    Postal Code *

    Phone *

    Gross Income *

    How Many Years? *

    How Many Months? *

    Previous Employment (If current employment less than 2 years)

    Type

    Employer

    Occupation

    Employment Address

    City

    Province

    Postal Code

    Phone

    How Many Years?

    How Many Months?

    Other Information

    Previous Bankruptcy?

    Previous Repossession?

    Is Cosigner Available?

    Please rate your credit

    Maximum Down Payment *

    Are you currently financing another vehicle? *

    Desired Vehicle

    Make

    Model

    Year

    VIN

    Trade In

    Trade-In Make

    Trade-In Model

    Trade-In Year

    Trade-In Kilometers

    Questions or Comments

    Disclaimer: By completing this application form, you authorize the Bank/Auto Dealer to conduct a personal investigation and run a credit report, and by submitting this, you accept as notice in writing of and authorize the obtaining of any information required that may be relating to this application, from any source to whom the Bank/Auto Dealer may apply and each source is authorized to provide the financial institution with information. In addition, you authorize the Bank/Auto Dealer to disclose, in response to direct inquiries from any other lender or credit bureau, any information concerning your loan and account that the Bank/Auto Dealer considers appropriate.
    Deposit Note: All deposits are only refundable if you are declined on the application. If dealership completes your financing documents and you walk away from the deal the deposit will automatically be forfeited.

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