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What Type of Vehicle Do You Want To Finance?
What type of vehicle are you looking for?
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Truck
Car
SUV
Van
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Are You Looking For a New or Used Vehicle?
New or Used Vehicle
New
Used
Re-Finance
What Is Your Monthy Budget?
What is your monthly budget?
*
Under $250
$250 - $374
$375 - $500
Over $500
When Is Your Birthday?
Birthday
*
Month
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Year
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1928
1927
1926
1925
1924
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1921
1920
Over 18
What Is Your Current Employment Status?
Employment Status
*
Employed
Self Employed
Student
Home Maker / Parent
Retired
Other
What Is Your Main Source of Income?
Other Income Source
Pension
Disability
Spousal Support
Child Support
Unemployment / EI
Maternity Leave
Are You Working While in School?
Working while in school?
Yes
No
Employment Information
Company Name
*
Position / Title
*
What is your Monthly Income?
What is your monthly income?
*
Do You Have Any Additional Income?
Additional Income Y/N
*
Yes
No
Please Enter Your Additonal Income Details
Additional Income Total
*
Additional Income Source
*
How Long Have You Worked At Your Job?
Employment Length
*
Less Than 3 Months
3 Months - 1 Year
1 Year - 3 Years
Over 3 Years
What Is Your Estimated Credit Rating?
Estimated Credit Rating
*
Excellent (750-900)
Good (650-749)
Fair (550-649)
Poor (300-549)
No Credit History
Bankruptcy
Your Current Address
Location
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Province
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Postal Code
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City
Do You Rent Or Own Your Home?
Rent or Own
*
Rent Home
Own Home
What Is Your Monthly Rent?
What Is Your Monthly Mortgage?
Monthly Housing Payment
*
How long have you lived at your current address?
Lived in house for
*
Less Than 3 Months
3 Months - 1 Year
1 Year - 3 Years
Over 3 Years
A Little Bit About You
Name
*
First
Last
Email
*
Phone
*
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Dealer ID
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Dealer Name
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Dealer Email
Agree Correct
*
I verify the information I have provided is correct.
*
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