Credit Application


Applicant
Mr. Ms. Miss Mrs.
First Name
Middle Name
Last Name
Address
Address1
Address2
City/Town Prov
Postal Code
Do you: Own   Rent   Other
Monthly payment if you own your home
  Home Payment
At this address? yr mo
Previous address if less than 2 years
  Address1
  Address2
  City/Town   Prov
  Postal Code
Telephones eg: 306-123-4567
Home:
Work:
Cell:
Email:
Personal / Financial
Social Insurance Number
Birth Date (dd/mm/yyyy)
Occupation:
Employer:
Current Employer yr mo
Monthly Income:
Previous employer if less than 1 year
  Employer
Co-Applicant
Mr. Ms. Miss Mrs.
First Name
Middle Name
Last Name
Address
Address1
Address2
City/Town Prov
Postal Code
Do you: Own   Rent   Other
Monthly payment if you own your home
  Home Payment
At this address? yr mo
Previous address if less than 2 years
  Address1
  Address2
  City/Town   Prov
  Postal Code
Telephones eg: 306-123-4567
Home:
Work:
Cell:
Email:
Personal / Financial
Social Insurance Number
Birth Date (dd/mm/yyyy)
Occupation:
Employer:
Current Employer yr mo
Monthly Income:
Previous employer if less than 1 year
  Employer
Selecting the following item indicates that I agree to the condiitons of this form and accept this written notice of your obtaining a credit report or other information about me from any person. I acknowledge that Nu-Line Auto will respect the confidentiality of this information and will only share it with financial organizations as required to approve this credit application. I agree that any agreements and related documents be drawn up in English