Credit Application

Who is your Salesperson? *

Personal Information

* Indicates required field

Select One *

First Name *

Last Name *

Date of Birth *

Select One *

Phone Number *

Email *

Current Street Address *

City *

Province *

Postal Code *

Years at Current Address *

Choose One *

Own Rent

Payment *

Mortgage Balance *

Home Value *

If you have lived at your current address more than 3 years you can skip this sections

Previous Street Address *

City *

Province *

Postal Code *

How long did you live at your previous address? *

Employment information

Current Employer *

Employers Address *

City *

Province *

Postal Code *

Phone Number *

Years at Current Employer *

Position *

Select One *

Income *

Pay Period *

Weekly Bi-weekly Monthly

If you have been employed by your current employer for more than 3 years you can skip this sections

Previous Employer *

Years at previous employer? *

Employers Address *

CIty *

Province *

Postal Code *

Phone Number *

Other Sources of Income

Income 1 *

Income 2 *

Driver's License *

Max file size: 20MB

Insurance Slip *

Max file size: 20MB

Additional Information

Are you interested in a specific vehicle? *

Yes No

Specific Vehicle *

Warranty Coverage

Our warranty coverage is completely optional.
We offer the most competitive pricing on all of our protection add-ons. This not only gives you peace-of-mind knowing you are protected incase of mechanical breakdown or incident but also gives us peace-of-mind knowing you will be looked after if an incident does occur.
For more information or to customize your protection plan to your driving habits please contact Dave Porteous at 613-898-1783

Powertrain Protection *

Road Hazard Protection (Tires, Rim & Key Fob) *

By submitting the above Consumer Credit Application, you confirm that the information given above is true and correct and you understand that it is being used to determine your credit responsibility and to evaluate and respond to your request for vehicle financing. The dealership and/or the financial institution is authorized to obtain any information required for these purposes from other sources (including, for example, credit bureau) and each source is hereby authorized to provide the dealership or financial institution with such information. You also understand, acknowledge and agree that the information given in the application form as well as other information obtained in relation to your credit history may be disclosed to potential lenders, other service providers, organizations providing technological or other support services required in relation to this application and any other parties with whom you propose to have a financial relationship.

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