Apply For Financing
Applicant Information
Contact Information
Salutation:
*
Phone Number:
*
First Name:
*
Mobile Number:
*
Middle Name:
Email Address:
*
Last Name:
*
Suffix:
Current Home Address
Address Type:
*
City:
*
Street Number
:
*
Province:
*
Street Name
:
*
Postal Code:
*
Street Type:
Years at Address:
*
Street Direction:
Months at Address:
*
Unit Number:
Previous Home Address
Address Type:
*
City:
*
Street Number
:
*
Province:
*
Street Name
:
*
Postal Code:
*
Street Type:
Years at Address:
*
Street Direction:
Months at Address:
*
Unit Number:
Personal Information
Date of Birth:
*
Marital Status:
*
SIN:
Gender:
*
Male
Female
Disclosure & Privacy Notice
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 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 product and/or service purchase financing. I further agree that the personal information provided above may be disclosed to the provider of Dealer’s website hosting or related services for the purpose of enabling Dealer to access my personal information for marketing purposes. 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.
I have read and agree to the Terms & Conditions above.
*
Housing & Employment
Housing Information
Home Status:
*
Own with Mortgage
Own Free & Clear
Own Mobile Home
Rent
With Parents
Reserve Housing
Other
Additional Info.
:
Monthly Housing Payment:
*
Market Value:
Mortgage Amount:
Current Employment Information
Employment Status:
*
Full time
Full Time (Probation)
Part Time (Casual)
Part Time (Regular)
Retired
Seasonal Summer
Seasonal Winter
Self Employed
Address Type:
*
Employment Type:
*
At home
Executive
Labourer
Management
Office Staff
Other
Production
Professional
Retired
Sales
Self-Employed
Service
Student
Trades
Unemployed
Street Number
:
*
Employer:
*
Street Name
:
*
Occupation:
*
Street Type:
Work Contact Phone:
*
Street Direction:
Work Contact Ext.:
Unit Number:
Years at Address:
*
City:
*
Months at Address:
*
Province:
*
Postal Code:
*
Current Income Information
Income Amount:
*
Other Income Amount:
Income Frequency:
*
Year
Month
Week
Other Income Frequency:
Year
Month
Week
Other Income Type:
Car Allowance
Child Support/Alimony
Disability Payments
Investment Income
Other
Pensions
Rental Income
Workers Compensation
Other Income Description:
Loan Asset
Financing Information
Financed Amount:
Cash Down:
Term:
12
24
36
48
60
72
84
Monthly Payment:
I have a Trade-in.
Trade-in Information
Year:
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
Make:
Model:
Odometer (kms):
Desired Purchase
If the vehicle you are looking for is not listed above, please enter it manually in the Comments section.
Asset Type:
Leisure
VIN / HIN / Serial No:
Stock Number:
Additional Info.
Sales Rep.:
Referral Source:
AutoHound
AutoTrader
Family/Friend
Internet
Newspaper/Flyer
Other (please specify with a comment)
Radio
Television
Comments & Feedback: