Credit Application - Priority Car Financing

Complete this form, and we will contact you quickly with your options.

Personal

Please complete the following:

Prefix First Name Last Name

Phone

Email

Marital Status

Date of Birth*

Social Insurance Number

Current Address

Please complete the following:*

Street Address City Province Postal Code

Duration (Years) address*

Years at this address. If less than a year, type 0

Duration (Months)*

Months at this address

Do you currently...*

Mortgage

Value of the House*

Balance Remaining*

Monthly Mortgage Payment*

Rent

Monthly Rent Payment*

Previous Address

PLEASE COMPLETE THIS SECTION IF DURATION AT CURRENT ADDRESS IS LESS THAN TWO(2) YEARS.

Please complete the following:*

Street Address City Province Postal Code

Duration (Years)*

Duration (Months)*

Employment

Employment Type*

Occupation*

Present Employer*

Employer's Phone*

Employer's Address

Street Address City Province Postal Code

Gross Income*

Duration (Years)*

How many years at your current employer?

Duration (Months)*

Previous Employment

PLEASE COMPLETE THIS SECTION IF DURATION AT YOUR CURRENT JOB IS LESS THAN TWO(2) YEARS.

Previous Employer*

Duration (Years) at Previous Employer*

Duration (Months) at Previous Employer*

Credit History

Have you declared bankruptcy in the past 7 years?

Have you ever had a vehicle repossessed?

If necessary, do you have a co-signer for your financing?

Please estimate your overall credit rating

Finance Variables

Down payment amount

Purchase Timeframe

When do you plan to purchase/lease a vehicle?

Trade In

Do you have trade-in vehicle?

Year

Make

Model

Mileage (in KM)

Vehicle Description

Desired Vehicle

Desired Vehicle Year

Desired Vehicle Make

Desired Vehicle Model

Desired Vehicle VIN

Dealership

Dealership Name*

What is the name of the dealership you are trying to buy the car from?

Your Consent

I agree to the privacy policy.

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.

To review our Privacy Policy, click here.