CREDIT APPLICATION
(* - mandatory fields) |
| What year/make/model vehicle are you interested in purhasing? |
| * |
| Credit Type |
| Individual Credit (1) |
| -- applying for credit in your own name and relying on your own income or assets and not the income or assets of another person as the bases for repayment of the credit requested. |
| Joint Credit |
| -- applying for joint redit with another person. Relationship to joint applicant or other party, if any |
| Name: |
| Individual Credit (2) |
| -- applying for credit in your own name but relying on income from alimony, child support or separate manintenance or on the income or assets of another person as a basis for repayment of the credit requested. |
| Business Application |
| Last Name or Business Name: |
| * |
| First Name: |
| * |
| Email: |
| * |
| Social Insurance Number: |
| * |
| Date of Birth: |
| * |
| Home Phone: |
| * |
| PO Box Number: |
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| Current Street and Apt./Suite Number: |
| * |
| City: |
| * |
| Province: |
| * |
| Postal Code: |
| * |
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| Years and Months At This Address: * |
| Own? |
| Rent? |
| Mortgage Payment or Rent per Month: |
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| Employed By or Type of Business (if business application): |
| * |
| Occupation: |
| * |
| Business Phone: |
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| Total Gross Annual Income: |
| * |
| Years/Months Employed |
| * |
| Military Rank: |
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| Alimony, child support or separate maintenance income cannot be included in Total Gross Annual Income. |
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| Nearest relative or friend not living with you: |
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| Home Phone |
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| PO Box Number |
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| Current Street and Apt./Suite Number |
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| City |
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| Province |
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| Postal Code |
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This application will be submitted to Astro Car & Truck Sales Ltd. (and) * at Astro Car & Truck Sales Ltd. 434 Autoway Dr., Machina, ON 094839 so that Astro Car & Truck Sales Ltd. (and) * may decide whether or not to purchase the transaction.
I certify that the information in my application is complete and true. I authorize the dealer and Astro Car & Truck Sales Ltd. to investigate my credit and employment history, obtain credit reports, and release information about their credit experience with me. I also authorize the dealer and Astro Car & Truck Sales Ltd. (and) * and their affiliates and marketing associates to use information about me, including information in my application, for marketing and administrative purposes.
Applicant and other party signatures: *
Date: MM/DD/YYYY |
| If you are ready to buy, what is your deposit amount?: $ |
| VISA MasterCard American Express GM Card |
| Cardholder name: |
| Credit Card Number: |
| Expiration Date: |
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