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

Vehicle Information

What are you interested in?

What would you like your monthly payments to be?

Do you have a trade?

Year

Make

Model

KMS/Hours

Employment History

What is your employment status?

Company Name

Position

What is your annual income before taxes?

How long have you been at your current employer?

How long were you with your previous employer?

If less than 2 years, how long were you there, what was the company name, your position, and your income?

Your Contact Information

What is your estimated credit rating?

What is your current address?

City

Postal Code

How long have you been at your current address?

What was your previous address?

Street

City

Postal Code

How long were you at your previous address?

How much do you pay per month?

Date of Birth

First Name

Last Name

Residence Phone

E-mail

Social Insurance