*REQUIRED FIELDS
Vehicle Information
Please enter the year, make and model you are interested in buying.
Price Range
to
Applicant Information
Name
Mr
Ms
Mrs
Miss
*Last Name
*Full Middle Name
*First Name
*Birthdate
Marital Status
Single
Married
Separated
Divorced
Common Law
*Social Insurance Number
*Email Address
Residence Information
Present Address
City
Prov
Postal Code
How Long
*Residence Phone
*Housing Type
Monthly Rent/Mortgage Payment
I rent
I Live with my Parents
I Own Free of Mortgage
I Own with a Mortgage
Mortgage Info (if applicable)
Financed By
(Including Branch):
Balance
Owing:
Home
Value:
Landlord Info (if Applicable)
Name:
Phone Number:
Previous Address (If less than 2 years at current address).
Previous Address
City
Prov
Postal Code
How Long
Previous Phone Number
Employment History
Present Employer
Employed How Long
Years Months
Occupation
Gross Monthly Income
(before deductions)
Employer Contact Name
Employer Phone Number
*Employer Address
*Employer Postal Code
Previous Employment (if less than 2 years at current job).
Previous Employer
Employed How Long
Years Months
Occupation
Gross Monthly Income
(before deductions)
Employer Contact Name
Employer Phone Number
Previous Employer Address
Previous Employer Postal Code
Banking Information
*Name of Bank
Type of Account
How Long (years)
Chequing
Savings
To assist us in getting a prompt reply to your credit application, please use the space below to let us know if you have had credit problems in the past.
If you have claimed bankruptcy you must provide proof of disharge to be eligible for financing.
Co-Applicant Information
Relationship to Applicant
Spouse
Common Law
Parent
Sibling
Name
Mr
Ms
Mrs
Miss
Last Name
Full Middle Name
First Name
Birthdate
Marital Status
Single
Married
Seperated
Divorced
Common Law
Social Insurance Number
Email Address
Residence Information
Present Address
City
Prov
Postal Code
How Long
Residence Phone
Monthly Rent/Mortgage Payment
I rent
I Live with my Parents
I Own Free of Mortgage
I Own with a Mortgage
Mortgage Info
(if applicable)
Financed By:
Balance Owing:
Home Value:
Landlord Info
(if Applicable)
Name:
Phone Number:
Previous Address (If less than 2 years at current address).
Previous Address
City
Prov
Postal Code
How Long
Previous Phone Number
Employment History
Present Employer
Employed How Long
Years Months
Occupation
Gross Monthly Income
(before deductions)
Employer Contact Name
Employer Phone Number
Employer Address
Employer Postal Code
Previous Employment (if less than 2 years at current job).
Previous Employer
Employed How Long
Years Months
Occupation
Gross Monthly Income
(before deductions)
Employer Contact Name
Employer Phone Number
Previous Employer Address
Previous Employer Postal Code
Privacy Policy Acceptance
Privacy Policy
In connection with your possible transaction, City Motors may obtain information about you as described in this notice, which we will handle as stated in this notice.
We collect nonpublic personal information about you from the following sources:
Information we receive from you on applications or other forms;
Information about your transactions with us; and
Information we receive from a consumer reporting agency (credit bureau)
We do not disclose, nor do we reserve the right to disclose, any nonpublic personal information about our consumers, customers or former customers to anyone, except as permitted by law. We may disclose nonpublic personal information about you, as a consumer, customer or former customer, to non-affiliated third parties as permitted by law.
We restrict access to nonpublic personal information about you to those employees who need to know that information to provide products or services to you. We maintain physical, electronic, and procedural safeguards that comply with federal regulations to guard your nonpublic personal information.
Note that by supplying us with the above information, you are authorizing
City Motors
- Summerside, PEI 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.
City Motors
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
City Motors
, I understand that
City Motors
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
City Motors
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
I have read and accepted City Motors Privacy Policy regarding the Credit Application
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