Loan Application

Applicant Information

Which vehicle are you interested to finance?

First Name (as appears on Driver License)

Middle Name (even if does not appear on Driver License)

Last Name (as appears on Driver License)

Phone Number

Your Email

Date of Birth (yyyy/mm/dd)

S.I.N. (numbers only, no space)

Marital Status:
SingleCommon-lawMarriedSeparatedDivorced
Have you declared bankruptcy?
YesNo
My Credit is:
GoodNot so goodNo credit history

Applicant Address:

Street Address

City/Town

Province

Postal Code

How long have you lived at this address? (yrs/mths)

Residence:
Own with mortgageOwn free and clearRentLive with parents
Monthly Payment

Mortgage Provider (Financial Institution)

Total Mortgage amount owing

Current Home Value

Previous address (fill in only if less than 1yr at current address)

Financial Information

Current Employer

Occupation

Duration of employment (yrs/mths)

Gross Income per Month (before deductions)

Employer's Phone Number

Employer's Street Address

Employer's City/Town

Employer's Province

Employer's Postal Code

If employed there for less than 1yr, please provide previous employer's information:

Previous Employer's Phone Number

Previous Employer's Name & Address

By submitting this application, I certify that my information is accurate and authorize The Car Shop and its lending partners to collect, use, and share my details to check my credit and process my auto loan.

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