Application Form

1
What kind of Product are you looking for?
Vehicle
Quad
Side by Side
Motorbike/Dirtbike
Snowmobile
Holiday Trailer / Camper
Utility Trailer
Boat
Personal Watercraft
Tractor/Commercial
Farm Equipment
2
Name* This field is required.Please enter your full name as it is on your ID including your middle name. (if you don't have a middle name enter NA)
Mr.
Mr.
Mrs.
Miss.
Ms.
Prefix
First Name
Middle Name
Last Name
3
Phone Number* This field is required.What's the best number to reach you at?
Please enter a valid phone number.
4
Email
example@example.com
5
Date of Birth* This field is required.
Date
Year
Month
Day
6
Address* This field is required.
Street Address
City
Province
Postal Code
How long have you had this address?
7
Previous AddressIf you address is under two years, please add a second address
Street Address
Street Address line 2
City
Province
Postal Code
How long have you had this address?
8
Do you Rent or Own? and Monthly Payment?* This field is required.
Please Select
Please Select
Rent
Own w/ Mortgage
Own Free / Clear
Band Housing
Live w/ Family
Type of Housing
Monthly rent or mortgage payment?
If you own, Whats the estimated market value?
Current Mortgage balance?
9
Marital Status* This field is required.
Single
Separated
Common Law
Married
10
Employment / Income Source* This field is required.
Employer Name / Source of Income
Position
Length of Employment
Gross monthly income (before taxes or deductions)
11
Previous Employment / Income SourcePlease fill this section out if your current Employment or Income source is under 2 years
Employer Name / Source of Income
Position
Length of Employment
Gross monthly income (before taxes or deductions)
12
Are you receiving any other forms of Income? (Pensions, Child tax, Investments, Disability payments, ext.)If so please enter source of income and what you receive monthly
13
In the last 7 Years have you filed for Bankruptcy?
YESNO
14
In the last 7 Years have you filed for Consumer Proposal?
YESNO
15
In the last 7 Years have you had a Vehicle or asset re-possessed, taken back, by the bank either voluntary or involuntary?
YESNO
16
Social Insurance Number
17
Take Photo of the front of your IDPhoto ID (drivers licence, Passport, ID card)
18
Take Photo of the back of your IDPhoto ID (drivers licence, Passport, ID card)
19
Take Photo of the front of your Status CardIf Applicable
20
Take Photo of the back of your Status CardIf Applicable
21
Upload Paystub if you have it handy
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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