Kang Motors Credit & Leasing Application
755 Coverdale Rd Riverview NB E1B 3L4 506-988-1767
Name
*
First Name & Last Name
Gender
*
Male
Female
Marital Status
*
Married
Divorced
Single
Separated
Other
Date of Birth
*
-
Day
-
Month
Year
Date
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
SIN#
*
Type of Resident
*
Own
Rent
Other
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Time at Address
*
Year & Months
Mortgage Amount & Mortgage Holder
*
Fill "0" if you are a case of rent.
Monthly Payment
*
Previous Address(Fill in if you are less than two years of current address)
Street Address
City
State / Province
Postal / Zip Code
Time at Address(Year & Months)
Vehicle Information
What vehicle you are looking for financing?
Vehicle Year, Brand & Vehicle Model
*
Borrower's Employment and Income Information
Employer Name
*
Phone Number
*
-
Area Code
Phone Number
Position / Title
*
Years with the company
*
Year & Months
Employer's Business Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Gross Monthly Income
*
Other Monthly Income & Description
Employment Type
*
At home
Executive
Labourer
Management
Office Staff
Production
Professional
Retired
Sales
Self-Employed
Service
Student
Unemployed
Other
Employment Status
*
Full Time
Part-Time
Retired
Self Employed
Seasonal
Other
Previous employment(Fill in if you are less than two years of current employment)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Previous Employer Name
Previous Employer Phone Number
-
Area Code
Phone Number
Employment Type
At home
Executive
Labourer
Management
Office Staff
Production
Professional
Retired
Sales
Self-Employed
Service
Student
Unemployed
Other
Employment Status
Full Time
Part-Time
Retired
Self Employed
Seasonal
Other
Bank and Financial Information
Mortgage Holder or Primary Bank & Credit Score Range
Bank Deposit Information
*
Confirmation and Consent
*
By signing this form, the signer (s), who is a principal of the credit applicant, confirms that the information you have given to Kang Motors Corporation in respect of this application is accurate and complete, and you authorize us to rely on and use this information to confirm your identity, evaluate your creditworthiness, in relation to the financing transaction being contemplated. In particular, you agree that we, our affiliates and any third parties acting for us or on our behalf (hereinafter collectively "us," "we," or "our") may obtain a credit report or other credit information from any credit reporting agency, credit bureau or credit grantor, and may hold, use, exchange and disclose such information for the purposes identified above. If your application is approved, you authorize us to collect, hold, use, exchange and disclose your personal information as required, in order to administer your contract, determine your insurance eligibility, and secure the assets being financed, or as required or permitted by law. You also authorize us to use your personal information for internal statistical analysis purposes. We will keep a file containing some or all of your personal information at our Head Office Location from time to time. You have a general right to access and rectify the personal information in this file by making a written request to us, Attention: Privacy Office: 755 Coverdale Rd Riverview NB E1B 3L4 Kang Motors Corp. You acknowledge that the information, including personal information, may be processed and stored outside of Canada.
Signature
*
Date
*
-
Day
-
Month
Year
Date
Submit
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