Financing



Applicants Name*
Social Insurance Number*
Birth Date DD/MM/YYYY*
Maritial Status*
S   M   CL D

Address*
City*
Postal Code*
Rent Own Family
Payment

# of Dependants
Home Phone
Work Phone
Cell Phone
Email*

Previous Address
How Long
Second Address
How Long

Applicants Current Employe *
Employer Contact Name & Number*
Self Employed

Full Time

  

Part Time

  

How Long*
Position*
Before Tax* After Tax*
*
Additional income & Source

Applicants Previous Employer
Position
Before Tax After Tax
How Long

Applicants 2nd Previous Employer
Position
Before Tax After Tax
How Long

Co-Applicant Relationship to Applicant
Co-Applicant Name
Social Insurance Number
Birth Date DD/MM/YYYY
Maritial Status
S   M   CL D

Address
City
Postal Code
Rent Own Family
Payment

# of Dependants
Home Phone
Work Phone
Cell Phone
Email

Previous Address
How Long
Second Address
How Long

Co-Applicants Current Employer
Employer Contact Name & Number
Self Employed

Full Time

  

Part Time

  

How Long
Position
Before Tax After Tax
Additional income & Source

Co-Applicants Previous Employer
Position
Before Tax After Tax
How Long

Co-Applicants 2nd Prev Employer
Position
Before Tax After Tax
How Long


ACKNOWLEDGEMENT AND CONSENT:I certify that the above information is complete and accurate to the best of my knowledge. I authorize priority car financing corp to obtain and/or exchange personal information with any other third party towards establishing or verifying my financial standing. Priority Car Financing Corp also reserves the right to use any third parties assistance in order to get the approval for the financing request from the buyer or co-buyer.A fee might be changed from Priority cor financing corp OR any third party helping in providing the loan, lease or service required, only if the customer decides to use the services for the arranged financing. The fee might be increased based on the complexity of the Credit Application and the cost involved in the transaction(s). In case of the fee being charged, Priority Car Financing Corp Or any third party helping with providing the service will have to disclose the true Apr to the customer. I(we) read Front and Back of this customer Credit Application and agree with its content..

   Please check here if you agree to the above statement and to the Consent to Use of Personal Information by Priority Car Financing Corp and Dealertrack and Onlinx.