Pinnacle Finance Canada Credit Application

Application For Financing

Completing this form will NOT initiate an inquiry on your credit bureau.
I hereby confirm the Following:

I am 18 or olderI am the applicant (not third party)I have a valid Canadian drivers license
Full Names & Surname*

First NameLast Name
Middle Name(s)

Middle Name(s)2nd Middle Name
Date Of Birth

MonthDayYear
SIN Number
Gender*
Mobile Number*
Please enter a valid phone number.
Marital Status*
Email Address*
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
How Long Have You Lived At Your Current Address*
Do You Own or Rent?*
Do You Own or Rent
Cost of Rent / Mortgage Monthly *
If Own, Please State Which Bank The Mortgage Is With, Home Value & Amount Still Owing On Mortgage
Home Address IF PREVIOUS IS LESS THAN 2 YEARS TENURE

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Employer Name*
Occupation*
Employment type*
Industry Type*
If Self employed, please state your company name
Full Time or Part Time?*

Full TimePart Time
Employer Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Period at Employer*
Total MONTHLY Income Before Tax Deductions *
Previous Employer IF CURRENT EMPLOYER IS LESS THAN 2 YEARS TENURE
Other Income (If Applicable)
Specify Other Income
Type Of Loan Requested*
Purchase Information (ie: 2019 Honda Civic Si 4door)
Total Cost of Purchase (Before Taxes)
Co-Applicant (If Applicable)*

First NameLast Name
Co-applicant Information

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Co-App Contact Number
Please enter a valid phone number.
Co-App Email Address
Co-App Employer Info
Co-App Income Amount (Monthly Before Tax)
Are you purchasing from Private Sale? (You can buy anywhere with our approval)

YesNo
Do you want to use our dealer network to find your desired item??

YesNo
Do you want to add a down payment? (not required)

YesNo
Down Payment Amount (If Applicable)
I hereby confirm that the above information is true and correct.

Yes
We require your consent to utilise this information for the application for vehicle finance and products that will be made available to you. I hereby consent to the information to be made available to credit providers. I hereby consent you to collect data from the credit providers/ bureaus to verify my information given by me on the application form.

Yes
Signature
Should be Empty:

Application For Financing