Application for Credit


Unit for Finance

Year: * Make: *
KM/HRS/Other: * Price: *
Purchasing At: * Model: *
(Where are you purchasing from?)  

Contact Information

First Name: * Middle Name:
Last Name: * Marital Status: *
Email Address: * Cell Phone: *
Home Phone: * Work Phone: *
Social Insurance Number: Date of Birth: *

Address Information

Street: * Suite:
City: * Province: * Postal Code: *
 
Do you rent or own your residence?: *    Own Rent Time at Current Residence: * yrs mos
Landlord/Mortgage Holder: * Rent/Mortgage Monthly Amount: *
Still Owing Amount: * Current Market Value: *
 
Previous Residence Information (required if current time at residence is less than 2 years)
 
Street: Suite:
City: Province: Postal Code:
Time at Previous Residence: yrs mos  

Employment Information

Current Employer: * Occupation: *
Business Phone: * Province: *
Time at Current Employer: * yrs mos
Gross Salary: * Other Income:
Street: * Suite:
City: * Province: *
Postal Code:
 
Previous Employer Information (required if current time at current employment is less than 2 years)
 
Previous Employer: Previous
Occupation:
Business Phone: Province:
Time at Previous Employer: yrs mos
Street: * Suite:
City: * Province: *
Postal Code:

References

Three references (not living with the primary applicant). These individuals will not be contacted for credit approval. They will only be contacted in the event of a defaulted loan.

  Name * Phone Number * Relationship *
Nearest Relative: *
Personal Reference: *
Other: *

Banking Information

Name of Bank: Account Type:
Name of Bank: Account Type:
Lender: Monthly Payment:
Total Debt: Length of Loan: yrs mos

Additional Comments


Co-Applicant Section

First Name: Middle Name:
Last Name:
Email Address:
Home Phone: Work Phone:
Social Insurance Number: Date of Birth:
Street: Suite:
City: Province: Postal Code:

Co-Applicant Employment Information

Current Employer: Occupation:
Business Phone: Province:
Time at Current Employer: yrs mos
Gross Salary: Other Income:
Street: Suite:
City: Province:
Postal Code:

Important Privacy Information

Introduction

As a valued customer, we want to ensure your private information is kept private and only shared with those companies who are authorized, either by yourself or as allowed or required by law. This document explains our privacy policy, gives you reasons why we ask for the type of information we do, and if we do reserve a right to share information with non-affiliated third parties, lets you "opt-out" of our reservation to do so. Please take a moment to read this entire policy.

Collection of Information

The purchase of a motor vehicle requires considerable accumulation of nonpublic personal information. For example, if we sell or lease you a vehicle - extending you credit at your request - We will receive information from you in order to determine your creditworthiness. We may also obtain information from a credit-reporting agency. We may also obtain information from third parties such as employers, references and insurance companies.

Some of the information we obtain from you may be required by provincial or federal agencies, such as the Ministry of Transportation or Revenue Canada. This information may be required even if you were to pay cash for your vehicle. Examples would be a driver's license or social security number.

Protecting Your Information

We safeguard nonpublic personal information according to established industry standards and procedures. We maintain physical and electronic safeguards that comply with provincial and federal law. We restrict access to nonpublic personal information about you to those employees and outside contractors who need to know the information to provide product or service to you. We prohibit our employees and agents from giving information about you to anyone in a manner that would violate any applicable law or our privacy policy.

Information Sharing

Unless we have indicated our desire to share your nonpublic personal information with non-affiliated third parties (by checking the box in the section below), we share information:

  1. As permitted by federal or provincial law.
  2. For purposes of processing a sale or lease transaction as your request or authorize, such as submitting information to third party financial institutions that may be requested to take an assignment of the contract or verifying insurance coverage information.
  3. When using outside service providers to help us provide you with products and services. Before providing information to our service providers we enter into contractual agreements prohibiting them from disclosing or using the information other than for the purpose it was disclosed.
  4. With "Affiliated" companies. Companies that are affiliated with us include any company that controls us, any company we control, or any company under common control with us.
  1. In this consent:
    1. The words "I", "me" and "my" refer to the undersigned Applicant and, if applicable, to each of the undersigned Co-Applicants, jointly and severally, and (b) the words "you" and "your" refers to each of Canadian Financial Brokers, Dealer, and each Financier and their respective successors and assigns.
    2. "use" or "using" includes collecting, copying, storing, maintaining, updating, sharing, transferring, disclosing, and providing access to Personal Information (as defined below).
    3. "Personal Information" means all information about me, and includes my name, address, telephone number, date of birth, social insurance number, driver's license number, mother's maiden name, my employment history, income, and information concerning my credit, information obtained through a credit reporting agency or credit investigation or from a credit bureau or financial institution or other person or entity, and all information provided by and relating to me in any credit application.
    4. "Transaction" means any credit application, price quote, purchase, lease, financing, and/or service of any motor vehicle, recreational vehicle, motorcycle, watercraft, or other asset by or for me, whether in my own name or on behalf of another person or entity.
  2. I certify that all information provided by me in any credit application or other documentation given in connection with the Transaction is true, accurate and complete in all respects.
  3. I AUTHORIZE AND CONSENT TO YOUR USE OF MY PERSONAL INFORMATION FOR THE PURPOSE OF INITIATING, PROCESSING OR EXECUTING ANY TRANSACTION REQUESTED BY ME AND FOR ANY REASONABLE PURPOSE RELATED THERETO.

    I consent to Canadian Financial Brokers, Dealer, and each Financier using my Personal Information: (1) for the purposes of meeting legal, regulatory, audit, processing and security purposes (including fraud prevention); (2) as described in their respective privacy notices, if any; and (3) as permitted or required by Canadian or applicable foreign law. You may use aggregate or otherwise non-identifying information for any purpose. I acknowledge that the use of my Personal Information is subject to the privacy notices of Dealer, Canadian Financial Brokers and the Financiers.
  4. I AUTHORIZE YOU TO CONDUCT CREDIT INVESTIGATIONS CONCERNING ME FROM TIME TO TIME IN CONNECTION WITH A TRANSACTION. I CONSENT TO YOU EXCHANGING MY PERSONAL INFORMATION WITH ANY CREDIT REPORTING AGENCY, CREDIT BUREAU, OR FINANCIER IN CONNECTION WITH A TRANSACTION AND CONSENT TO YOU DISCLOSING MY PERSONAL INFORMATION TO EACH OTHER.
  5. I consent to Canadian Financial Brokers using my Personal Information to create aggregated and anonymous information that may be used for Canadian Financial Brokers's business purposes.
  6. I consent to Canadian Financial Brokers using agents and service providers to use my Personal Information on behalf of Canadian Financial Brokers and its affiliates. I acknowledge and understand that some of these service providers may be located in jurisdictions outside of Canada which may have privacy laws, regulations or standards different from those in Canada, including lawful requirements to disclose information to government authorities. Canadian Financial Brokers will use reasonable means to protect my personal information in those jurisdictions.
  7. I acknowledge that I may update any Personal Information retained by Canadian Financial Brokers by sending an email to support@canadianfinancialbrokers.com or by calling 403.710.7474.
I have read and agree to the consent information above and I am interested in purchasing or leasing a vehicle and request that my Consumer Credit Report be obtained, at no cost to me, in order to help determine the types and extent of financing which may be available to me. *
  (Authorize by entering your initials in the box on the left)