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Salutation:
Dr.
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Suffix:
I
II
III
IV
JR
SR
Gender:
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Street Name:
City:
Suite No.:
Street Type:
ABBEY
ACRES
ALLEE
ALLEY
AUTOROUTE
AVENUE
BAY
BEACH
BEND
BLVD
BOUL
BYPASS
CAMPUS
CAPE
CARRE
CENTRE
CERCLE
CHASE
CHEMIN
CIRCLE
CIRCUIT
CLOSE
COMMON
CONCESSION
CORNERS
COTE
COUR
COURS
COURT
COVE
CRESCENT
CROISSANT
CROSSING
CUL-DE-SAC
DALE
DELL
DIVERSION
DOWNS
DRIVE
END
ESPLANADE
ESTATES
EXPRESSWAY
EXTENSION
FIELD
FREEWAY
FRONT
GARDENS
GATE
GLADE
GLEN
GREEN
GROUNDS
GROVE
HARBOUR
HEATH
HEIGHTS
HIGHLANDS
HIGHWAY
HILL
HOLLOW
ILE
IMPASSE
INLET
ISLAND
KEY
KNOLL
LANDNG
LANE
LIMITS
LINE
LINK
LOOKOUT
LOOP
MALL
MANOR
MAZE
MEADOW
MEWS
MONTEE
MOUNT
MOUNTAIN
PARADE
PARC
PARK
PARKWAY
PASSAGE
PATH
PATHWAY
PLACE
PLATEAU
PLAZA
POINT
POINTE
PRIVATE
PROMENADE
QUAI
QUAY
RAMP
RANG
RANGE
RIDGE
RISE
ROAD
ROUTE
ROW
RUE
RUELLE
RUN
SENTIER
SQUARE
STREET
SUBDIVISION
TERRACE
TERRASSE
TOWNLINE
TRAIL
TURNABOUT
VALE
VIEW
VILLAGE
VILLAS
VISTA
VOIE
WALK
WAY
WHARF
WOOD
WYND
Province:
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Address No.:
Direction:
East
North
North East
North West
South
South East
South West
West
Duration
Years
Months
Previous Address (if less than two years at address above)
Postal Code:
Address Type:
Street
Rural Route
Postal Box
Street Name:
City:
Suite No.:
Street Type:
ABBEY
ACRES
ALLEE
ALLEY
AUTOROUTE
AVENUE
BAY
BEACH
BEND
BLVD
BOUL
BYPASS
CAMPUS
CAPE
CARRE
CENTRE
CERCLE
CHASE
CHEMIN
CIRCLE
CIRCUIT
CLOSE
COMMON
CONCESSION
CORNERS
COTE
COUR
COURS
COURT
COVE
CRESCENT
CROISSANT
CROSSING
CUL-DE-SAC
DALE
DELL
DIVERSION
DOWNS
DRIVE
END
ESPLANADE
ESTATES
EXPRESSWAY
EXTENSION
FIELD
FREEWAY
FRONT
GARDENS
GATE
GLADE
GLEN
GREEN
GROUNDS
GROVE
HARBOUR
HEATH
HEIGHTS
HIGHLANDS
HIGHWAY
HILL
HOLLOW
ILE
IMPASSE
INLET
ISLAND
KEY
KNOLL
LANDNG
LANE
LIMITS
LINE
LINK
LOOKOUT
LOOP
MALL
MANOR
MAZE
MEADOW
MEWS
MONTEE
MOUNT
MOUNTAIN
PARADE
PARC
PARK
PARKWAY
PASSAGE
PATH
PATHWAY
PLACE
PLATEAU
PLAZA
POINT
POINTE
PRIVATE
PROMENADE
QUAI
QUAY
RAMP
RANG
RANGE
RIDGE
RISE
ROAD
ROUTE
ROW
RUE
RUELLE
RUN
SENTIER
SQUARE
STREET
SUBDIVISION
TERRACE
TERRASSE
TOWNLINE
TRAIL
TURNABOUT
VALE
VIEW
VILLAGE
VILLAS
VISTA
VOIE
WALK
WAY
WHARF
WOOD
WYND
Province:
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Address No.:
Direction:
East
North
North East
North West
South
South East
South West
West
Duration
Years
Months
Home/Mortgage Details
Home:
Own with Mortgage
Own Free & Clear
Own Mobile Home
Rent
With Parents
Reserve Housing
Other
Mortgage Amount:
Monthly Payment:
Market Value:
Mortgage Holder:
Current Employment
Type:
At home
Executive
Labourer
Management
Office Staff
Other
Production
Professional
Retired
Sales
Self-Employed
Service
Student
Trades
Unemployed
Address Type:
Street
Rural Route
Postal Box
Direction:
East
North
North East
North West
South
South East
South West
West
Employer:
Suite No.:
City:
Status:
Full time
Full Time (Probation)
Part Time (Casual)
Part Time (Regular)
Retired
Seasonal Summer
Seasonal Winter
Self Employed
Address No.:
Province:
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Occupation:
Street Name:
Postal Code:
Duration:
Years
Months
Street Type:
ABBEY
ACRES
ALLEE
ALLEY
AUTOROUTE
AVENUE
BAY
BEACH
BEND
BLVD
BOUL
BYPASS
CAMPUS
CAPE
CARRE
CENTRE
CERCLE
CHASE
CHEMIN
CIRCLE
CIRCUIT
CLOSE
COMMON
CONCESSION
CORNERS
COTE
COUR
COURS
COURT
COVE
CRESCENT
CROISSANT
CROSSING
CUL-DE-SAC
DALE
DELL
DIVERSION
DOWNS
DRIVE
END
ESPLANADE
ESTATES
EXPRESSWAY
EXTENSION
FIELD
FREEWAY
FRONT
GARDENS
GATE
GLADE
GLEN
GREEN
GROUNDS
GROVE
HARBOUR
HEATH
HEIGHTS
HIGHLANDS
HIGHWAY
HILL
HOLLOW
ILE
IMPASSE
INLET
ISLAND
KEY
KNOLL
LANDNG
LANE
LIMITS
LINE
LINK
LOOKOUT
LOOP
MALL
MANOR
MAZE
MEADOW
MEWS
MONTEE
MOUNT
MOUNTAIN
PARADE
PARC
PARK
PARKWAY
PASSAGE
PATH
PATHWAY
PLACE
PLATEAU
PLAZA
POINT
POINTE
PRIVATE
PROMENADE
QUAI
QUAY
RAMP
RANG
RANGE
RIDGE
RISE
ROAD
ROUTE
ROW
RUE
RUELLE
RUN
SENTIER
SQUARE
STREET
SUBDIVISION
TERRACE
TERRASSE
TOWNLINE
TRAIL
TURNABOUT
VALE
VIEW
VILLAGE
VILLAS
VISTA
VOIE
WALK
WAY
WHARF
WOOD
WYND
Telephone:
Ext.
Previous Employment (if less than two years with employer above)
Type:
At home
Executive
Labourer
Management
Office Staff
Other
Production
Professional
Retired
Sales
Self-Employed
Service
Student
Trades
Unemployed
Address Type:
Street
Rural Route
Postal Box
Direction:
East
North
North East
North West
South
South East
South West
West
Employer:
Suite No.:
City:
Status:
Full time
Full Time (Probation)
Part Time (Casual)
Part Time (Regular)
Retired
Seasonal Summer
Seasonal Winter
Self Employed
Address No:
Province:
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Occupation:
Street Name:
Postal Code:
Duration:
Years
Months
Street Type:
ABBEY
ACRES
ALLEE
ALLEY
AUTOROUTE
AVENUE
BAY
BEACH
BEND
BLVD
BOUL
BYPASS
CAMPUS
CAPE
CARRE
CENTRE
CERCLE
CHASE
CHEMIN
CIRCLE
CIRCUIT
CLOSE
COMMON
CONCESSION
CORNERS
COTE
COUR
COURS
COURT
COVE
CRESCENT
CROISSANT
CROSSING
CUL-DE-SAC
DALE
DELL
DIVERSION
DOWNS
DRIVE
END
ESPLANADE
ESTATES
EXPRESSWAY
EXTENSION
FIELD
FREEWAY
FRONT
GARDENS
GATE
GLADE
GLEN
GREEN
GROUNDS
GROVE
HARBOUR
HEATH
HEIGHTS
HIGHLANDS
HIGHWAY
HILL
HOLLOW
ILE
IMPASSE
INLET
ISLAND
KEY
KNOLL
LANDNG
LANE
LIMITS
LINE
LINK
LOOKOUT
LOOP
MALL
MANOR
MAZE
MEADOW
MEWS
MONTEE
MOUNT
MOUNTAIN
PARADE
PARC
PARK
PARKWAY
PASSAGE
PATH
PATHWAY
PLACE
PLATEAU
PLAZA
POINT
POINTE
PRIVATE
PROMENADE
QUAI
QUAY
RAMP
RANG
RANGE
RIDGE
RISE
ROAD
ROUTE
ROW
RUE
RUELLE
RUN
SENTIER
SQUARE
STREET
SUBDIVISION
TERRACE
TERRASSE
TOWNLINE
TRAIL
TURNABOUT
VALE
VIEW
VILLAGE
VILLAS
VISTA
VOIE
WALK
WAY
WHARF
WOOD
WYND
Telephone:
Ext.:
Income Details
Gross Income:
Other Income Type:
Car Allowance
Child Support/Alimony
Disability Payments
Investment Income
Other
Pensions
Rental Income
Workers Compensation
per:
Year
Month
Week
Other Income:
per:
Year
Month
Week
"Other" Description:
Annual Total:
Additional Information
Down Payment:
$500.00
$1000.00
Other:
Desired Vehicle Description:
Desired Payment Frequency:
Weekly
Bi-weekly
Monthly
Desired Weekly / Monthly Payment (taxes incl):
Require New Plates?:
Yes
No
Secondary Phone #:
Trade In?:
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No
Trade In Description:
Co-signer Information
Personal Information
Salutation:
Dr.
Mr.
Ms.
Miss
Mrs.
Suffix:
I
II
III
IV
JR
SR
Gender:
Female
Male
First Name:
SIN:
Marital Status:
Divorced
Married
Common Law
Widow/Widower
Separated
Single
Middle Name:
Phone:
Email:
Last Name:
Date of Birth:
MM
DD
YYYY
Relation to Primary:
Spouse
Common Law
Employer
In-Law
Parental
Grandmother
Grandfather
Brother
Sister
Other
Current Address
Postal Code:
Address Type:
Street
Rural Route
Postal Box
Street Name:
City:
Suite No.:
Street Type:
ABBEY
ACRES
ALLEE
ALLEY
AUTOROUTE
AVENUE
BAY
BEACH
BEND
BLVD
BOUL
BYPASS
CAMPUS
CAPE
CARRE
CENTRE
CERCLE
CHASE
CHEMIN
CIRCLE
CIRCUIT
CLOSE
COMMON
CONCESSION
CORNERS
COTE
COUR
COURS
COURT
COVE
CRESCENT
CROISSANT
CROSSING
CUL-DE-SAC
DALE
DELL
DIVERSION
DOWNS
DRIVE
END
ESPLANADE
ESTATES
EXPRESSWAY
EXTENSION
FIELD
FREEWAY
FRONT
GARDENS
GATE
GLADE
GLEN
GREEN
GROUNDS
GROVE
HARBOUR
HEATH
HEIGHTS
HIGHLANDS
HIGHWAY
HILL
HOLLOW
ILE
IMPASSE
INLET
ISLAND
KEY
KNOLL
LANDNG
LANE
LIMITS
LINE
LINK
LOOKOUT
LOOP
MALL
MANOR
MAZE
MEADOW
MEWS
MONTEE
MOUNT
MOUNTAIN
PARADE
PARC
PARK
PARKWAY
PASSAGE
PATH
PATHWAY
PLACE
PLATEAU
PLAZA
POINT
POINTE
PRIVATE
PROMENADE
QUAI
QUAY
RAMP
RANG
RANGE
RIDGE
RISE
ROAD
ROUTE
ROW
RUE
RUELLE
RUN
SENTIER
SQUARE
STREET
SUBDIVISION
TERRACE
TERRASSE
TOWNLINE
TRAIL
TURNABOUT
VALE
VIEW
VILLAGE
VILLAS
VISTA
VOIE
WALK
WAY
WHARF
WOOD
WYND
Province:
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Address No.:
Direction:
East
North
North East
North West
South
South East
South West
West
Duration
Years
Months
Previous Address (if less than two years at address above)
Postal Code:
Address Type:
Street
Rural Route
Postal Box
Street Name:
City:
Suite No.:
Street Type:
ABBEY
ACRES
ALLEE
ALLEY
AUTOROUTE
AVENUE
BAY
BEACH
BEND
BLVD
BOUL
BYPASS
CAMPUS
CAPE
CARRE
CENTRE
CERCLE
CHASE
CHEMIN
CIRCLE
CIRCUIT
CLOSE
COMMON
CONCESSION
CORNERS
COTE
COUR
COURS
COURT
COVE
CRESCENT
CROISSANT
CROSSING
CUL-DE-SAC
DALE
DELL
DIVERSION
DOWNS
DRIVE
END
ESPLANADE
ESTATES
EXPRESSWAY
EXTENSION
FIELD
FREEWAY
FRONT
GARDENS
GATE
GLADE
GLEN
GREEN
GROUNDS
GROVE
HARBOUR
HEATH
HEIGHTS
HIGHLANDS
HIGHWAY
HILL
HOLLOW
ILE
IMPASSE
INLET
ISLAND
KEY
KNOLL
LANDNG
LANE
LIMITS
LINE
LINK
LOOKOUT
LOOP
MALL
MANOR
MAZE
MEADOW
MEWS
MONTEE
MOUNT
MOUNTAIN
PARADE
PARC
PARK
PARKWAY
PASSAGE
PATH
PATHWAY
PLACE
PLATEAU
PLAZA
POINT
POINTE
PRIVATE
PROMENADE
QUAI
QUAY
RAMP
RANG
RANGE
RIDGE
RISE
ROAD
ROUTE
ROW
RUE
RUELLE
RUN
SENTIER
SQUARE
STREET
SUBDIVISION
TERRACE
TERRASSE
TOWNLINE
TRAIL
TURNABOUT
VALE
VIEW
VILLAGE
VILLAS
VISTA
VOIE
WALK
WAY
WHARF
WOOD
WYND
Province:
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Address No.:
Direction:
East
North
North East
North West
South
South East
South West
West
Duration
Years
Months
Home/Mortgage Details
Home:
Own with Mortgage
Own Free & Clear
Own Mobile Home
Rent
With Parents
Reserve Housing
Other
Mortgage Amount:
Monthly Payment:
Market Value:
Mortgage Holder:
Current Employment
Type:
At home
Executive
Labourer
Management
Office Staff
Other
Production
Professional
Retired
Sales
Self-Employed
Service
Student
Trades
Unemployed
Address Type:
Street
Rural Route
Postal Box
Direction:
East
North
North East
North West
South
South East
South West
West
Employer:
Suite No.:
City:
Status:
Full time
Full Time (Probation)
Part Time (Casual)
Part Time (Regular)
Retired
Seasonal Summer
Seasonal Winter
Self Employed
Address No.:
Province:
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Occupation:
Street Name:
Postal Code:
Duration:
Years
Months
Street Type:
ABBEY
ACRES
ALLEE
ALLEY
AUTOROUTE
AVENUE
BAY
BEACH
BEND
BLVD
BOUL
BYPASS
CAMPUS
CAPE
CARRE
CENTRE
CERCLE
CHASE
CHEMIN
CIRCLE
CIRCUIT
CLOSE
COMMON
CONCESSION
CORNERS
COTE
COUR
COURS
COURT
COVE
CRESCENT
CROISSANT
CROSSING
CUL-DE-SAC
DALE
DELL
DIVERSION
DOWNS
DRIVE
END
ESPLANADE
ESTATES
EXPRESSWAY
EXTENSION
FIELD
FREEWAY
FRONT
GARDENS
GATE
GLADE
GLEN
GREEN
GROUNDS
GROVE
HARBOUR
HEATH
HEIGHTS
HIGHLANDS
HIGHWAY
HILL
HOLLOW
ILE
IMPASSE
INLET
ISLAND
KEY
KNOLL
LANDNG
LANE
LIMITS
LINE
LINK
LOOKOUT
LOOP
MALL
MANOR
MAZE
MEADOW
MEWS
MONTEE
MOUNT
MOUNTAIN
PARADE
PARC
PARK
PARKWAY
PASSAGE
PATH
PATHWAY
PLACE
PLATEAU
PLAZA
POINT
POINTE
PRIVATE
PROMENADE
QUAI
QUAY
RAMP
RANG
RANGE
RIDGE
RISE
ROAD
ROUTE
ROW
RUE
RUELLE
RUN
SENTIER
SQUARE
STREET
SUBDIVISION
TERRACE
TERRASSE
TOWNLINE
TRAIL
TURNABOUT
VALE
VIEW
VILLAGE
VILLAS
VISTA
VOIE
WALK
WAY
WHARF
WOOD
WYND
Telephone:
Ext.
Previous Employment (if less than two years with employer above)
Type:
At home
Executive
Labourer
Management
Office Staff
Other
Production
Professional
Retired
Sales
Self-Employed
Service
Student
Trades
Unemployed
Address Type:
Street
Rural Route
Postal Box
Direction:
East
North
North East
North West
South
South East
South West
West
Employer:
Suite No.:
City:
Status:
Full time
Full Time (Probation)
Part Time (Casual)
Part Time (Regular)
Retired
Seasonal Summer
Seasonal Winter
Self Employed
Address No:
Province:
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Occupation:
Street Name:
Postal Code:
Duration:
Years
Months
Street Type:
ABBEY
ACRES
ALLEE
ALLEY
AUTOROUTE
AVENUE
BAY
BEACH
BEND
BLVD
BOUL
BYPASS
CAMPUS
CAPE
CARRE
CENTRE
CERCLE
CHASE
CHEMIN
CIRCLE
CIRCUIT
CLOSE
COMMON
CONCESSION
CORNERS
COTE
COUR
COURS
COURT
COVE
CRESCENT
CROISSANT
CROSSING
CUL-DE-SAC
DALE
DELL
DIVERSION
DOWNS
DRIVE
END
ESPLANADE
ESTATES
EXPRESSWAY
EXTENSION
FIELD
FREEWAY
FRONT
GARDENS
GATE
GLADE
GLEN
GREEN
GROUNDS
GROVE
HARBOUR
HEATH
HEIGHTS
HIGHLANDS
HIGHWAY
HILL
HOLLOW
ILE
IMPASSE
INLET
ISLAND
KEY
KNOLL
LANDNG
LANE
LIMITS
LINE
LINK
LOOKOUT
LOOP
MALL
MANOR
MAZE
MEADOW
MEWS
MONTEE
MOUNT
MOUNTAIN
PARADE
PARC
PARK
PARKWAY
PASSAGE
PATH
PATHWAY
PLACE
PLATEAU
PLAZA
POINT
POINTE
PRIVATE
PROMENADE
QUAI
QUAY
RAMP
RANG
RANGE
RIDGE
RISE
ROAD
ROUTE
ROW
RUE
RUELLE
RUN
SENTIER
SQUARE
STREET
SUBDIVISION
TERRACE
TERRASSE
TOWNLINE
TRAIL
TURNABOUT
VALE
VIEW
VILLAGE
VILLAS
VISTA
VOIE
WALK
WAY
WHARF
WOOD
WYND
Telephone:
Ext.:
Income Details
Gross Income:
Other Income Type:
Car Allowance
Child Support/Alimony
Disability Payments
Investment Income
Other
Pensions
Rental Income
Workers Compensation
per:
Year
Month
Week
Other Income:
per:
Year
Month
Week
"Other" Description:
Annual Total:
Privacy Disclaimer
Introduction As a valued customer, we want to ensure your private information is kept private and only shared with those companies who are authorized either by yourself or as allowed or required by law. This document explains our privacy policy, gives you reasons why we ask for the type of information we do, and if we do reserve a right to share information with non-affiliated third parties, lets you "opt-out" of our reservation to do so. Please take a moment to read this entire policy. Collection of Information The purchase of a motor vehicle requires considerable accumulation of non public personal information. For example, if we sell or lease you a vehicle - extending you credit at your request - we will receive information from you in order to determine your creditworthiness. We may also obtain information from a credit-reporting agency. We may also obtain information from third parties such as employers, references and insurance companies. Some of the information we obtain from you may be required by provincial or federal agencies, such as the Ministry of Transportation or Revenue Canada. This information may be required even if you were to pay cash for your vehicle. Examples would be a driver's license or social security number. Protecting Your Information We safeguard non public personal information according to established industry standards and procedures. We maintain physical and electronic safeguards that comply with provincial and federal law. We restrict access to non public personal information about you to those employees and outside contractors who need to know the information to provide product or service to you. We prohibit our employees and agents from giving information about you to anyone in a manner that would violate any applicable law or our privacy policy. Information Sharing Unless we have indicated our desire to share your non public personal information with non-affiliated third parties (by checking the box in the section below), we share information: A) As permitted by federal or provincial law. B) For purposes of processing a sale or lease transaction as your request or authorize, such as submitting information to third party financial institutions that may be requested to take an assignment of the contract or verifying insurance coverage information. C) When using outside service providers to help us provide you with products and services. Before providing information to our service providers we enter into contractual agreements prohibiting them from disclosing or using the information other than for the purpose it was disclosed. D) With "Affiliated" companies. Companies that are affiliated with us include any company that controls us, any company we control, or any company under common control with us. This dealership reserves the right to disclose non public personal information to third parties, such as market research firms, direct marketing companies, finance service providers and others who may from time to time seek to provide you information on valuable products or services. I direct you not to share non public personal information about me to non-affiliated third parties, except as provided in this Privacy Policy. I am interested in purchasing or leasing a vehicle and request that my Consumer Credit Report be obtained, at no cost to me, in order to help determine the types and extent of financing which may be available to me.
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