FINANCE APPLICATION
To apply for financing, complete and submit the following form:
* denotes a required field
Applicant Information
Personal Information
Full Name:
*
Email Address:
*
Home Phone #:
*
Cell Phone #:
*
Date of Birth:
*
Social Insurance Number:
*
Current Residential Information
Residence Type:
Rent
Own
Parents
*
Landlord's Name or
Mortgage Institution:
*
Payment Amount:
*
Street Address:
*
City/Province:
*
How Long at Address?
*
Previous Residential Information (If less than 2 years at current)
Residence Type:
Rent
Own
Parents
Landlord's Name or
Mortgage Institution:
Payment Amount:
Street Address:
City/Province:
How Long at Address?
Current Employment Information
Employer's Name:
*
Position:
*
How Long?
*
Gross Monthly Income:
*
Phone Number:
*
Previous Employment Information (If less than 2 years at current)
Employer's Name:
Position:
How Long?
Gross Monthly Income:
Phone Number:
Is this a joint application?
Co-Applicant Information
Personal Information
Full Name:
*
Email Address:
*
Home Phone #:
*
Cell Phone #:
*
Date of Birth:
*
Social Insurance Number:
*
Relationship to Applicant:
*
Current Residential Information
Street Address:
*
City/Province:
*
How Long at Address?
*
Previous Residential Information (If less than 2 years at current)
Street Address:
City/Province:
How Long at Address?
Current Employment Information
Employer's Name:
*
Position:
*
How Long?
*
Gross Monthly Income:
*
Phone Number:
*
Previous Employment Information (If less than 2 years at current)
Employer's Name:
Position:
How Long?
Gross Monthly Income:
Phone Number:
Legal Agreement
I authorize and consent to your use of my personal information for the purpose of initiating, processing or executing a transaction, and I expressly authorize you to conduct credit investigations concerning me from time to time in connection with a transaction. Without Limitation I consent to your exchange of my personal information with any credit reporting agency, credit bureau, or financier in connection with a transaction and consent to your disclosure of my personal information by and among each of you to the others. In addition to the foregoing, I authorize and consent to your use of personal information for any reasonable purpose related to a transaction. I acknowledge that the use of my personal information is subject to the privacy act.
I, the applicant, affirm that by checking this checkbox I acknowledge that I have read and accept the above legal agreement.
*
I, the co-applicant, affirm that by checking this checkbox I acknowledge that I have read and accept the above legal agreement.
*
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