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
Date of Birth
*
-
Day
-
Month
Year
Date
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Type of Resident
*
Own
Rent
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Time at Address
*
Year & Months
Mortgage Amount
*
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
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
Employment Status
*
Full Time
Part-Time
Retired
Self Employed
Seasonal
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
Bank and Financial Information
Mortgage Landlord or Primary Bank & Credit Score Range
Bank Deposit Information
*
Confirmation and Consent
*
I hereby declare that the information provided above are true and accurate to the best of my knowledge, and without intend to mislead nor to misrepresent any details herein.
I give consent to the lender to conduct any necessary investigation for the purpose of verification of the declarations provided herein and for the approval approval of this loan application.
I understand that any wrongful representation made in the declarations by which I have provided in this form can be a subject of disapproval of this application.
I give my express consent for the lender to provide financial information for any request made to my account with the lender herein this agreement.
Signature
*
Clear
Date
*
-
Month
-
Day
Year
Date
Submit
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