AUTOMOTIVE CREDIT APPLICATION

Please do not fill out application unless you’re serious about buying a vehicle

BASIC QUALIFICATIONS
$1,750.00 Gross income (pre-taxes) per month
No repossessions in past year
Must be 19 years of age
No learners license- (unless co-signer has valid B.C. license)

BUYER INFORMATION
First Name
Middle Name
Last Name
Date of Birth
S.I.N
Home Phone
Cellular Phone
RESIDENTIAL INFORMATION
Apt
Street Address
City
Province
Postal Code
Time at Residence Years
Months
Rent Amount
Home Owner If yes, answer below 4 questions
Mortgage Amount
Mortgage Holder
Home Value
Mortgage Balance
(If less than 1 year at current address, answer the following questions about prior residence)
Apt
Street Address
City
Province
Postal Code
Time at Residence Years
Months
EMPLOYMENT /INCOME
Name of Employer
Length of Employment Years
Months
Title
INCOME INFORMATION
Hourly Rate
Hours Per Week
Gross Monthly Amount (Pre-Taxes)
Salary
OTHER INCOME
Source
Monthly Amount
(If at present employment for less than 2 years, answer
the following questions about prior employment)
Name of Employer
Length of Employment Years
Months
Title
Valid B.C. Drivers license Number:
SPOUSE/CO-SIGNER INFORMATION
First Name
Middle Name
Last Name
Date of Birth
S.I.N
Home Phone
Cellular Phone

RESIDENTIAL INFORMATION
Apt
Street Address
City
Province
Postal Code
Time at Residence Years
Months
Rent Amount
Home Owner If yes, answer below 4 questions
Mortgage Amount
Mortgage Holder
Home Value
Mortgage Balance
(If less than 1 year at current address, answer the following questions about prior residence)
Apt
Street Address
City
Province
Postal Code
Time at Residence Years
Months
EMPLOYMENT /INCOME
Name of Employer
Length of Employment Years
Months
Title
INCOME INFORMATION
Hourly Rate
Hours Per Week
Gross Monthly Amount (Pre-Taxes)
Salary
OTHER INCOME
Source
Monthly Amount
(If at present employment for less than 2 years, answer
the following questions about prior employment)
Name of Employer
Length of Employment Years
Months
Title
Valid B.C. Drivers license Number:

CERTIFICATION AND AUTHORIZATION

By submitting this application, I certify that all information herein is true and authorize participating financial institutions and auto dealer to retain this information and rely on the foregoing, to check and verify my credit, employment and salary.
I have read and accept the Certification and Authorization

Yes No

Please enter the Anti-Spam code in the field below