Secure Finance Application

Finance Type*

Statement of Consent

I certify that the information provided by me is correct. I also understand that you will be checking with credit reporting agencies. I authorize an investigation of my credit and employment history and the release of information about my credit experience.

Please initial below to indicate that you have received a copy of our Privacy Notice and agree to all of the above.

YOUR CREDIT APPLICATION IS GOING THROUGH A SECURE WEBSITE AND YOUR IDENTITY IS SAFE

Initial Here*

Co-Applicant's Initial Here

Vehicle Information

Year, Make & Model*

Your Contact Information

Name As It Appears on Driver's License

First Name*

Last Name*

Residence Phone*

Area CodePhone Number

E-mail*

Social Insurance

Date of Birth*

MonthDayYear

Preferred Location*

Physical Address Information

Physical Address*

City*

Province*

Postal Code*

Housing Information

Do you Rent or Own your home, or other?*

LandLord / Mortgage Holder

Rent / Mortgage Monthly Amount*

Mortgage Balance

Time at Current Residence Years*

Time at Current Residence Months*

Value of Current Property

Employer Information

Occupation*

Employer Name*

Employer Address*

Employer City*

Employer Province*

Employer Postal Code*

Employer Phone*

Area CodePhone Number

Salary (Annually Gross)*

Time at Employer Years*

Time at Employer Months*

Type of Employment

Other Income

Other Income Frequency

Occupation

Employer Name

Employer Address

Employer City

Employer Province

Employer Postal Code

Employer Phone

Area CodePhone Number

Salary (Annually Gross)

Time at Employer Years

Time at Employer Months

Additional Comments

Please include any information that you feel may help us process your application.

Joint Applicant Contact Information

First Name*

Last Name*

Residence Phone*

Area CodePhone Number

E-mail

Social Insurance

Date of Birth*

MonthDayYear

Joint Physical Address Information

Physical Address*

City*

Province*

Postal Code*

Joint Applicant Housing Information

Do you Rent or Own your home, or other?

LandLord / Mortgage Holder

Rent / Mortgage Monthly Amount

Time at Current Residence Years

Time at Current Residence Months

Value of Current Property

Joint Applicant Employer Information

Occupation

Employer Name

Employer Address

Employer City

Employer Province

Employer Postal Code

Employer Phone

Area CodePhone Number

Salary (Annually Gross)

Time at Employer Years

Time at Employer Months

Other Income

Other Income Frequency

Occupation

Employer Name

Employer Address

Employer City

Employer Province

Employer Postal Code

Employer Phone

Area CodePhone Number

Salary (Annually Gross)

Time at Employer Years

Time at Employer Months

Joint Applicant Additional Comments

Please include any information that you feel may help us process your application.