If you need help filling out your application? One of our helpful sales associates would be happy to go through this with you. Call us or email us for any help.
Salutation* Mr.Mrs.Miss.
First Name *
Last Name *
Phone* xxx-xxx-xxxx
Email *
Marital Status* Single.Married.Single.
Birth Date *
Driver's License*
Postal Code*
Home* RentOwn With MortgageOwn Free & ClearLives with Parents
Street Address *
City*
Province* AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundlandNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon
Duration* Years Months
Monthly Rent Payment
Name of Landlord
If you have lived at your current address for less than 2 years, please fill out the following fields.
Street Address
City
Provinces —Please choose an option—AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundlandNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon
Postal Code
Employment Type* Full TimePart TimeContract
Social Insurance Number
Occupation*
Present Employer*
Phone*
Employer Address*
Provinces * AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundlandNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon
Gross Income*
If you have worked at your current job for less than 2 years, please fill out the following fields.
Previous Employer
Duration Years Months
Have you declared bankruptcy within the past 7 years? NoYes
Have you ever had a vehicle repossessed? NoYes
If necessary, do you have a co-signer for your financing? NoYes
Please rate your credit* Credit: Good CreditAverageCredit: No CreditCredit: Bad Credit
Down payment amount
Plan to purchase / lease a vehicle within
Have trade-in vehicle?* YesNo
Year
Make
Model
Mileage (in KM)
Vehicle Description
Desired Vehicle Make
Desired Vehicle Model
Desired Vehicle Year
Desired Vehicle Vin
I certify that each of the statements made and answers given in this credit application are true and correct and is made for the purpose of inducing the financing of the purchase of a motor vehicle. I authorize the obtaining of a consumer report to be used in evaluating this application and the obtaining and exchanging of credit information from and with other creditors and consumer reporting agencies.
