What Vehicle Are You Applying For?
Date of Birth
Time At Address
RentLive With FamilyOwn, please fill in the mortgage info below
Current Property Value
Original Mortgage Amount
Outstanding Mortgage Amount
Mortgage Renewal Date
Length of Employment
Gross Monthly Income (Before Taxes)
Other Source of Income (Please Specify- 2nd Job/Rental Income)
Previous Employment (if less than 3 years)
Have you been bankrupt or under consumer proposal —Please choose an option—YesNo
If Yes, Year of Discharge
Do you have a valid Driver's License? —Please choose an option—YesNo
Class —Please choose an option—GG1G2
Driver's Licence Number
Do you have a co-applicant? If Yes, please complete another application —Please choose an option—YesNo
By submitting the form, you are agreeing to the following terms:
I/We Warrant and confirm that the information given in this application form is true and correct and I/We understand that it is being used to determine my credit responsibility and to evaluate and respond to my/our request for financing, you are authorized to obtain any information you may require for these purposes from other sources, including for example credit bureaus and each source is hereby authorized to provide you with such information.
I/We also understand, acknowledge and agree that the information given in this application as well as other information you obtain in relation to my credit history will be disclosed to potential lenders, insurers, and other service providers, organizations providing technological or other support services required in relation to this application and other parties whom I/we propose to have a financial relationship.
I/We further acknowledge and agree that each potential lender, insurer, or service provider to whom you provide the application and/or my/our personal information is permitted to receive such application and information and maintain records relating to me/us, including my/our social insurance number if I/we provide it, and disclose personal information about me/us, you and from third persons, including credit bureaus, credit reporting agencies, collection agencies, financial institutions, past or present employers, creditors, and landlords. I/We specifically consent to the release and disclosure of personal information.