Online Credit Application
Speed up your purchase or your lease by completing this on-line credit application.
This is not an official document. We will contact you shortly for more information!
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| I
plan to buy a vehicle in: |
|
Amount of deposit required for
vehicle delivery: |
$
|
Monthly payment required
including taxes: |
$
|
| Type of Vehicle Preferred: |
|
Personal Information |
| Name: |
|
| Date of birth (year/month/day): |
|
| E-mail: |
|
| Phone (with area code): |
-
|
| Address: |
|
| City: |
|
| Province: |
|
| Postal Code: |
|
| At this address since: |
years |
OWNER (if applicable) |
| Mortgage Institution: |
|
| Monthly Payment: |
$
|
TENANT (if applicable) |
| Name of landlord: |
|
| Phone (with area code): |
-
|
| Monthly Rent: |
$
|
Present Employer |
| Company or Owner: |
|
| How long (years,months): |
|
| Position: |
|
| Phone at work: |
-
|
| Income: |
$
(per annum) |
Previous Employer |
| Company or Owner: |
|
| How long (years,months): |
|
| Position: |
|
| Phone at work: |
-
|
Other Source of Income |
| Specify: |
|
| Amount: |
$
|
Bank Account Information |
| Bank Name: |
|
| Address: |
|
| Have you ever been bankrupt? |
No
Yes |
| Do you have a credit card? |
No
Yes |
| If yes, specify the type: |
Visa
Mastercard
Amex
Other |
By submitting our credit application form you have authorized Lambton Auto Credit to obtain a credit bureau on all information provided above.
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YES! I want to receive information on future contests, surveys,
special promotions and new content from "Lambton Auto Credit". |
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