Credit Application - Priority Car Financing

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 at This Address (Years)

Duration (Months)

Rent/Mortgage

Monthly Payment: Rent/Mortgage

Previous Address

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)

Duration (Months)

Previous Employment

If you have worked at your current job for less than 2 years, please fill out the following fields.

Previous Employer

Duration (Years)

Duration (Months)

Credit History

Have you declared bankruptcy within 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.

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