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Vehicle Loan Credit Application Form

*=Required Field

Applicant Information
First Name*
Middle Initial*
Last Name*
Date of Birth*
SIN*
Drivers License Number
Marital Status*
Home Phone*
Cell or Pager Number
Email*
Home Address*
City*
Province*
Postal Code
Employment
Employer*
How Long Employed
 Years Months
Gross Monthly Income*
Financial Obligations
Rent or Own
Monthly Rent/Mortgage
Landlord Name
Landlord Phone #
Credit Card Type

Declaration
I/we 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/we 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.


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