Credit Application Form

* Indicates Required Fields

Primary Applicant
First Name:	Gender:	Male Female	S.I.N.:
Middle Name:	Marital Status:		Phone:
Last Name:	Date of Birth: mm/dd/yyyy		Email:
When is the best time to phone or contact you?
Current Address Details
Address Type:	Suite/Box #:
Street #:	Street Name:		Direction:
City:	Province:		Postal Code:
Country:	Duration: Yr(s).		Mth(s).
Previous Address Details If you have lived at your current address for less than two years, please fill out the following section.
Address Type:	Suite/Box #:
Street #:	Street Name:		Direction:
City:	Province:		Postal Code:
Country:	Duration: Yr(s).		Mth(s).
Current Employment Details
Type:	Employer:		Occupation:
Status:	Telephone:		Extension:
Address:
City:	Province:		Postal Code:
Country:	Duration: Yr(s).		Mth(s).
Income Details
Gross Income:	per
Hourly Wage:	(if applicable)
Previous Employment Details If you have been employed less than two years with your current employer, please fill out the following section.
Type:	Employer:		Occupation:
Status:	Telephone:		Extension:
Address:
City:	Province:		Postal Code:
Country:	Duration: Yr(s).		Mth(s).
Home/Rental/Mortgage Details
Home:	Monthly Payment:
Market Value:	Mortgage Holder:		Mortgage Amount:
Additional Information
Desired Purchase:		Where did you hear about us?
		Other Referral Source or Sales Rep:
Comments / Feedback:

In this consent, (a) the words "I", "me", and "my" refer to the Applicant and, if applicable, to each of the Co-applicants, jointly and severally, and (b) the words "you" and "your" refers to each of King Of Credit, G.N. Motors Sales & Rentals, and each Financier and their respective successors and assigns.
I hereby authorize and consent to your use of my personal information for the purpose of initiating, processing or executing a transaction, and I expressly authorize you to conduct credit investigations concerning me from time to time in connection with a transaction.
Without limitation, I consent to your exchange of my personal information with any credit reporting agency, credit bureau, or financier in connection with a transaction and consent to your disclosure of my personal information by and among each of you to the others.
In addition to the foregoing, I authorize and consent to your use of personal information for any reasonable purpose related to a transaction.
I certify that all information provided by me in any credit application or other documentation given in connection with the Transaction is true, accurate and complete in all respects.

I give consent to the use of my personal information as outlined above.