Secure Finance Application

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

Type

Condition

Year

Make

Model

Price

VIN

Stock Number

Down Payment

Your Contact Information

First Name

Middle Name

Last Name

Work Phone

Residence Phone

E-mail

Spouse Name

Spouse Income

Physical Address Information

Physical Address

City

Province

Postal Code

Previous Employer Information (If less than 5 years at Current Employer...)

Occupation

Employer Name

Employer Address

Employer City

Employer Province

Employer Postal Code

Employer Phone

Salary (Annually Gross)

Time at Employer

Additional Comments

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

Joint Applicant Contact Information