Quick Application Information
First Name

Middle

Last
Social Insurance Number Date of Birth
Home Phone
Street City
Province

Postal

How long ? Years Months Property Payment/Month
Number of Depandants Marital Status E-Mail

Current Landlord / Mortgage Information Previous Address Information
(if less than 2 years)

Landlord or Mortgage Holder

Landlord Phone Number

Previous Landlord's Name

Previous Landlord's Phone

Previous Street Address

Previous City

How long did you live there?
Years Months

Property

Payment/Month

If Mortgage Holder, how much is owing on house?

Market Value of Home


Employment Information

Current Employer

Employed How Long ?

Position

Gross Monthly Income

Employement Type

Guarenteed Hours Weekly

Employer's Contact Name

Phone Number

 

Previous Employer's Name

How Long Employed ?

Position

Previous Contact Person

Phone Number

Gross Monthly Income

Other Source of Income

Second Previous Employment


Spouse / Cosigner Information (Optional)

Working Spouse First Name

Last Name

 

Date of Birth

Social Insurance Number

 

Street

City

Prov / Postal

Spouse/Cosigner's Employer
How Long Employed ?   Position
Contact Person
Phone Number

Gross Monthly Income

 

Buying Vehicle Information and Trade in Vehicle

Buying Vehicle Make

Model

Year

Stock Number

Kilometers

 

Trade in Vehicle Make (if any)

Model

Year

Kilometers

Value Amount

 

Cash Down Payment (if any)


 


Notes


I hereby certify that the information given above is true, accurate and complete as at the statement date. I fully understand that such information shall be used to determine my credit worthiness. I understand that ALL INFORMATION WILL BE VERIFIED and any information that proves inaccurate will result in the application being terminated and the deposit accompanying the application may be retained by the dealer. I authorize Big3 Preowned Centre to obtain all the information it requires.

Today's Date Signed:


If your loan application is approved or should we have any additional questions, where should we

contact you ?

By clicking the Apply Now below, I certify that the above information is complete and accurate, and I
authorize an investigation of my credit history and the release of information about my credit experience.

Click on Submit and our finance department will contact you soon!