Credit Application



Personal Information

Stock Number:
(enter the stock number of the vehicle you are interested in)
First Name Middle Name Last Name
Date of Birth (M / D / Y)
Marital Status:
Single Married Divorced Common Law
Home Phone#
( )
Cell#
( )
Email Address:
Present Address:
Rent Own
City: Province: Postal Code:
How long? Payment/Month? (Rent/Mrg)
If renting
Landlord or Company Name: Landlord or Company Phone Number:
previous address if less than 2 years
Previous Address:
City: Province: Postal Code:

Occupation Information

Self employed?
Yes No
Company Name: Occupation:
Job Type
Part time Full Time
Years at present job:
years months
Gross monthly income: $
Work phone
If less than 2 years at present employer
previous company Name: Address
Previous Employer's Phone Number Contact Name
Years at previous job
years months
Gross monthly income at previous job: $
Other source of income: (name the source) Other Source of income amount:$
How soon do you need a vehicle: SIN Number:
Have you ever filed bankruptcy? No Yes

if yes, date of discharge

Can you provide a cosigner if its necessary ?

Yes No
Do you provide us authorization to proceed with this application

Yes No
Terms and Conditions
By checking this box, I consent to the collection, use and disclosure of my personal information as described in this paragraph. I agree that the personal information provided above may be used and disclosed by Dealership and/or its agents or service providers (collectively, the "Dealer") as necessary to obtain credit, financial and related personal information (including a credit or consumer information report) about me from any credit bureau or credit reporting agency, and to advise me on credit availability in connection with vehicle purchase financing.Personal information I provide and credit information obtained may also be retained by Dealer and used to facilitate the application process should I subsequently choose to apply for credit through Dealer.