CREDIT APPLICATION
(fields marked with a ""*"" are required)
GENERAL INFORMATION
First Name:*
*
Home Phone:*
*
Last Name:*
*
Work Phone:*
*
Address:*
*
Best Time to call:
City:*
*
Email:*
*
*
Province:*
*
Date of Birth:*
*
Postal Code:*
*
How long at this address:*
*
Own
Rent
VEHICLE INFORMATION
Year:
Features
and Options:
Make:
Down Payment:
$
or less:
Model:
Payment:
$
per month:
Stock Number#:
Time Frame:
Immediately
Within next week
In one to two weeks
Within next month
More than a month
Exterior Colour:
Buy :
Purchase
Lease
Trade Information:
Trade In Details:
CO-BUYERS PERSONAL INFORMATION
Full Name:
Date of Birth:
Address:
SIN:
City:
Province:
Postal Code:
How long at this
address
Own
Rent
EMPLOYMENT INFORMATION
Employer:
How long at this
employer:
Employer Address:
Occupation:
City:
Province:
Postal Code:
Salary:
$
Weekly
Monthly
Yearly
CO-BUYERS EMPLOYMENT INFORMATION
Employer:
How long at this
employer:
Employer Address:
Occupation:
City:
Province:
Postal Code:
Salary:
$
Weekly
Monthly
Yearly
By completing and submitting this form you hereby authorized representatives to research and review your credit history and/or submit your application to funding sources for research, review and approval