Elementor #7391 | Merritt Financial

Personal Information
Are you a*
Who are you co-applying with?*
Name*
First Last
Email*
Enter Email Confirm Email
Phone*
What is your citizenship status?*
What is your date of birth?*
MM
DD
YYYY
What is your relationship status?*
What is your social insurance number (SIN)?
Address
Address*
Street Address Address Line 2 City Postal Code
Do you rent or own your property?*
How much is your monthly payment?*
How many years have you lived at this address?*
How many months?*
Previous Address*
Street Address Address Line 2 City Postal Code
Employment
What is your employment situation?*
Who is your employer?*
What is your position or occupation?*
What is your employer's address?*
Street Address Address Line 2 City
What is your employer's phone number?*
What is your gross monthly income?*
How many years have you worked at this job?*
How many months have you worked at this job?*
What is your previous employer's address?
Street Address Address Line 2 City
Who is your previous employer?
What was your previous position or occupation?
What was your previous monthly income?
Do you have proof of income?*
Do you have other sources of income?
Final Questions
Have you ever been under brankruptcy or consumer proposal?*
What is the date of your discharge?*
MM
DD
YYYY
Do you have a valid driver's licence?*
What is your driver's licence number?*
What is your driver's licence expiry date?*
MM
DD
YYYY
What vehicle are you interested in financing?*
I agree to allow Serena Motors and their relevant partners to store and process my personal data.*

In order to provide you the content requested, we need to store and process your personal data. If you consent to us storing your personal data for this purpose, please tick the checkbox above.
Comments
This field is for validation purposes and should be left unchanged.

Personal Information

Address

Employment

Final Questions