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What type of Credit Application would you like to submit?
Company
Joint
Individual
Company
Company Legal Name
Company Phone
Buyer
Buyer's Full Legal Name
SIN #
Birth Date
Phone
Present Address
City
Province
How Long?
Previous Address
City
Email
Co-Buyer
Co-Buyer's Full Legal Name
SIN #
Birth Date
Phone
Co-Buyer's Address
City
Province
How Long?
Employment
Buyer's Employer
Phone
Position / Title
Gross Monthly Income
How Long?
Previous Employer
Phone
Position / Title
Gross Monthly Income
How Long?
Co-Buyer's Employer
Phone
Position / Title
Gross Monthly Income
How Long?
Co-Buyer's Previous Employer
Phone
Position / Title
Gross Monthly Income
How Long?
Other Income
Buyer's Income Insurance
Co-Buyer's Income Insurance
Bank
Primary Bank
Branch Contact
Account
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Savings / Chequings
Chequings Only
Housing
Home
Own
Rent
Family
Landlord / Mortgage Company
Contact / Branch
Present Value
Balance Owing
Rent / Payment
Secured
...
Yes
No
Credit
Creditor 1
Balance
Payment
Secured
...
Yes
No
Creditor 2
Balance
Payment
Secured
...
Yes
No
Creditor 3
Balance
Payment
Secured
...
Yes
No
Creditor 4
Balance
Payment
Secured
...
Yes
No
Creditor 5
Balance
Payment
Secured
...
Yes
No
Questions
Have have you had a vehicle repossessed in the last 7 years?
Select...
Yes
No
Have you declared bancrupcy in the last 7 years?
Select...
Yes
No
Have you taken time off work through illness/injury in the last 7 years?
Select...
Yes
No
References
Reference 1
Full Address
Phone
Reference 2
Full Address
Phone
Reference 3
Full Address
Phone
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Understand your needs and to offer products and services to meet those needs;
Respond to your inquires;
Allow this dealership and it's affiliates, agents and suppliers to provide you with information relating to our/their products, services;
To obtain credit information about yourself from your employers, any credit bureau or any other person in connection with your conditional sales agreement.
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Please note that by submitting personal information to us, you consent to the use as described above, and in our Privacy Policy.