Priority Finance - Credit Application

Personal Information

First name

Last name *

Email address *

Mobile number *

Date of Birth *

Social Insurance Number

Marital Status

Current Address

Please complete the following:

Street address *

Apt

City *

Province *

Postal Code *

Duration (Years) address

Years at this address. If less than a year, type 0

Duration (Months)

Months at this address

Monthly Rent Payment

Previous Address

PLEASE COMPLETE THIS SECTION IF DURATION AT CURRENT ADDRESS IS LESS THAN TWO(2) YEARS.

Street address

Apt

City

Province

Postal Code

Duration (Years)

Years at this address. If less than a year, type 0

Duration (Months)

Months at this address

Employment

Employment Type *

Occupation *

Present Employer *

Employer Address *

Gross Income *

Employer phone

Years

Months

How many years and months at your current employer?

Previous Employment

PLEASE COMPLETE THIS SECTION IF DURATION AT CURRENT JOB IS LESS THAN TWO(2) YEARS.

Employment Type

Occupation

Previous Employer Name

Duration (Years) at Previous Employer

How many years at your current employer?

Duration (Months) at Previous Employer

Credit History

Have you declared bankruptcy in the past 7 years?

Have you ever had a vehicle repossessed?

If necessary, do you have a co-signer for your financing?

Please estimate your overall credit rating

Finance Variables

Downpayment Amount

Purchase Timeframe

When do you plan to purchase/lease a vehicle?

Vehicle Information

Do you have a trade-in vehicle?

Desired Vehicle

Desired Model Year

Desired Make

Desired Model

Vehicle VIN (if known)

Dealership Name *

What is the name of the dealership you are trying to buy the car from?

Other comments

Type any other information you want to send to Priority

By submitting this form you are agreeing to the following terms

ACKNOWLEDGMENT 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 party's assistance in order to get the approval for the financing requested from the buyer and/or co-buyer. Priority Car Financing Corp. and/or any third party helping in providing the Loan, Lease or the Service required, may sell aftermarket products and/or charge a Financing fee. The Buyer and/or the cobuyer have the right not to accept the offer for those products and/or the Financing Fee and at the same time Priority Car Financing Corp. and/or any third party has the right not to provide the assistance required to get the approval for the financing if the Financing Fee has not been accepted. The sale of these products and/or the charge of the Financing Fee are not required in order to purchase the car and the buyer and/or co-buyer will have the full power in deciding on what sources they should use to get the financing they need. The price of these products will depend on the products chosen from the buyer and/or the co-buyer, the term, the amount to be financed and the interest rate. In case a Financing Fee is being charged, Priority Car Financing Corp. and/or any third party helping with providing the service will have to disclose the true APR to the customer. The Financing Fee will be charged on top of the advertised price from the dealer. The Financing Fee could change depending on the complexity of the application. Please read the back of this application for more details or contact us. I authorize Priority Car Financing Corp. to obtain, use and share information about me with any credit reporting agency and/or any other third party in relation to the financing or the service required from me. I authorize Priority Car Financing Corp. or any other third party related to this application to contact me via Phone, Direct Mail, E-mail, Fax or any other sources of communication possible.

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