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November 09, 2020
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Credit Application
Credit Application
*
required fields
Interested in Buying:
2022 Durango 301 RLT Vehicle ID# 57967
Trade in Description
Type
Year
Make/Model
Lien Holder and Amount
Buyer
*
First Name
*
Middle Name
*
Last Name
*
Drivers Licence Info:
Licence Number:
Expiry Date:
Province:
Email Address:
*
Date of Birth:
*
SIN:
*
Phone:
Marital Status
*
Address:
Street
City
Province
Postal Code
*
Home Status:
Select
Rent
Own
*
Monthly Payment:
Market Value:
Mortgage Balance:
*
Years At This Address:
Months At This Address:
Landlord or Mortgage Holder:
If lived in Residence less than 2 years:
Previous Address:
Street
City
Province
Postal Code
*
Employer:
Employment Type:
Full Time
Part Time
Occupation Status:
*
Employer's Address:
Street
City
Province
Postal Code
*
Occupation:
Work Phone:
*
Monthly Income (before taxes):
*
Years Employed:
Months:
Other Income & Source:
If worked at job less than 2 years previous employer:
Employer:
Employer's Address:
Street
City
Province
Postal Code
Occupation:
Work Phone:
Monthly Income (before taxes):
Years Employed:
Credit Card:
Bank Account Type:
Co-Buyer
Relation to
Primary Applicant
First Name
Middle Name
Last Name
Drivers Licence Info:
Licence Number:
Expiry Date:
Province:
Address:
Street
City
Province
Postal Code
Home Status:
Select
Rent
Own
Monthly Payment:
Landlord or Mortgage Holder:
Email Address:
Date of Birth:
SIN:
Marital Status
Phone:
Years At This Address:
Months At This Address:
Employer:
Occupation:
Employment Type:
Full Time
Part Time
Occupation Status:
Employer's Address:
Street
City
Province
Postal Code
Work Phone:
Monthly Income (before taxes):
Years Employed:
Months:
Other Income & Source:
Credit Card:
Bank Account Type:
Other Current Obligations:
Type Creditor Amount Payment Secured
Additional Remarks
*
Have you ever declared bankruptcy?
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Yes
No
*
Have you ever missed payments in the last 7 years?
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Yes
No
*
I/We declare that all the above information is true as gathered today.
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Yes
No
*
Date Signed:
*
I have read and accepted
Pine Acres RV
Privacy Policy
regarding the Credit Application
Note that by supplying us with the above information, you are authorizing
Pine Acres RV
to review your credit for the purpose of buying a vehicle. Providing us with the above information in no way obligates you to purchase anything. By law, we are required to hold the information you've provided us in strict confidence.
Pine Acres RV
has access to multiple financial institutions. That means we can provide the financing you need at a monthly payment that fits your budget.
In submitting this application to
Pine Acres RV
, I understand that
Pine Acres RV
will supply the above information to one or more credit bureaus in order to receive information about my credit history. Also, in submitting this credit application I understand that
Pine Acres RV
may provide the above information, and my credit history, to one or more financial institutions in order for them to evaluate their willingness to finance a vehicle(s) to me.
Please review your application to make sure all applicable fields are completed. Incomplete applications will cause delays in processing your request.
Thank You
YES, I do agree with all your terms and conditions
