Auto Financing Application
Personal Information
Tax Exempt
Yes
No
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First Name
*
Phone Number
*
Middle Name
Email
*
Last Name
*
Gender
*
Gender
Female
Male
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Date of Birth
Marital Status
Marital Status
Divorced
Married
Common Law
Widow/Widower
Separated
Single
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SIN
Vehicle Information
Product Of Interest
Automotive
Power Sports
Personal Loan
Credit Solutions
Mortgages
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Desired Vehicle
Sedan
Hatchback
Coupe
Truck
SUV
Van
Flexible
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Vehicle Year, Make & Models
Monthly Budget
Options Preference
Colour Preference
Current Vehicle
Trade
Keep
Refinance
No Vehicle
Unsure
Current Employment
Income Source(s)
Income Source(s)
Taxed Employed (Full-Time)
Taxed Employed (Part-Time)
Self-Employed
Child Tax/Baby Bonus
Long-Term Disability
Short-Term Disability
Canada Pension Plan (CPP)
Old Age Security (OAS)
Guaranteed Income Supplement (GIS)
Pension (Private/Employer)
Registered Retirement Income Fund (RRIF)
Spousal Support/Alimony
Child Support
Maternity Leave Benefits
Parental Leave Benefits
Student Income
Rental Income
Investment Income
Veteran’s Benefits
Workers' Compensation
Social Assistance/Welfare
Employment Insurance (EI)
Unemployed
Other
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Select one or more income sources.
Gross Income
$
Occupation
Employer Name
Employer Street Address
Employment Duration
Employer Telephone
Employment Duration Less than 2 years?
Yes
No
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Previous Employment
Previous Employer Name
Previous Employment Occupation
Previous Employer Telephone
Previous Employer Street Address
Current Address
Street Address
City
Postal code
Province
Province
AB
BC
MB
NB
NL
NT
NS
NU
ON
PE
QC
SK
YT
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Home
Rent or Own
Rent
Own
Own with Mortgage
Own Free & Clear
Own Mobile Home
With Parents
Reserve Housing
Other
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Time at address
Address Duration More than 2 years?
Yes
No
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Previous Address
Previous City
Previous Street Address
Previous Province
AB
BC
MB
NB
NL
NT
NS
NU
ON
PE
QC
SK
YT
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Additional Information
Consent to a Credit a Check?
*
Consent to a Credit a Check?
YES Proceed
Do Not Proceed
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Availability to be contacted
General Notes
Identification Document(s)
Upoload a valid government issued photo ID.
Income Documents
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