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Are you a...
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New Applicant
Co-applicant
Returning Client
Do you have a co-applicant?
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Yes
No
Who are you co-applying with?
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What are you applying for?
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Auto Loan
Mortgage
Title Loan
Personal Loan
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What is your name?
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First
Last
What is your email?
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Email
Confirm Email
What is your phone number?
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What is your citizenship status?
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Canadian citizen
Permanent resident
Student Visa
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What is your date of birth?
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What is your current relationship status?
Single
Married
Common-Law
Divorced
Widowed
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What is your social insurance number?
This field is not mandatory. However, this information helps expedite the processing time of your application. Your personal information is always safe and secure.
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What is your current address?
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Unit / Suite / Apartment #
City
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Postal Code
*
How long have you lived at this address?
*
Year(s)
Month(s)
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If you have lived at your current address for less than 2 years, please provide your previous address.
What is your previous address?
Previous Unit / Suite / Apartment #
Previous City
Previous Postal Code
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Do you rent or own your residency?
*
Rent
Own
Live with familly
What is your current property value?
*
What was your original mortgage amount?
*
What is your outstanding mortgage amount?
*
What is your mortgage payment?
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Are you currently working?
*
Yes
Self Employed
No
Who is your current employer?
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What is your current employer's street address?
*
What city does your current employer reside in?
*
What is your current employer's phone number?
*
What is your position or occupation?
*
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What is your gross monthly income? (before taxes)
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How long have you worked at this job?
*
Year(s)
Month(s)
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If you have worked at your current job for less than 2 years, please provide your previous employment information.
Who was your previous employer?
What is your previous employer's street address?
What is your previous employer's phone number?
What was your previous gross monthly income (Before taxes)
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Do you have proof of income? (Check all that apply)
*
Paystub / T4
Bank Statement
Job Letter
Cash / No Proof
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Do you have any other sources of income?
Yes
No
Describe Your Other Source(s) of Income
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Have you ever been bankrupt or under consumer proposal?
*
Yes
No
What is the year of your discharge?
*
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Do you have a valid drivers licence?
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No
G
G1
G2
Other
What is your driver's licence number?
*
What is your driver's licence expiry date?
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How did you hear about us?
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Car Dealership
Online Advertisement
Other
What website were you referred from?
Google
Facebook
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Kijiji
Linkedin
Other
What is the name of the dealership you were referred from?
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Do you currently have a finance manager assigned to your application? If so, name them here.
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Terms and Conditions
Do you accept our terms and conditions?
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I accept the terms and conditions.
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