Auto Loan Inquiry

Name *

Email *

Date of birth * Format (yyyy-mm-dd)

SIN (optional)

Phone *

Current Address *

City *

Province *
AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundlandNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon

Postal Code *

Home Status *
RentOwn with MortgageWith ParentsOther

Monthly payment or rent*

How long? *

Previous Address *

City *

Province *
AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundlandNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon

Postal Code *

Previous Home Status *
RentOwn with MortgageWith ParentsOther

Monthly payment or rent*

How long? *

Current Employer *

How long? *

Employer Address *

Phone *

Email *

Fax

City *

Province *
AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundlandNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon

Postal Code *

Position *

Work Type *
HourlySalary

Annual Income *

Previous Employer

How long?

Employer Address

Phone

Email

Fax

City

Province
AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundlandNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon

Postal Code

Position

Work Type
HourlySalary

Annual Income

Name

Email

Date of birth Format (yyyy-mm-dd)

SIN (optional)

Phone

Current Address

City

Province
AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundlandNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon

Postal Code

Home Status
RentOwn with MortgageWith ParentsOther

Monthly payment or rent

How long?

Previous Address

City

Province
AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundlandNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon

Postal Code

Previous Home Status
RentOwn with MortgageWith ParentsOther

Monthly payment or rent

How long?

Current employer

How long?

Employer Address

Phone

Email

Fax

City

Province
AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundlandNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon

Postal Code

Position

Work Type
HourlySalary

Annual Income

Previous employer

How long?

Employer Address

Phone

Email

Fax

City

Province
AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundlandNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon

Postal Code

Position

Work Type
HourlySalary

Annual Income

By signing this application, I consent to the collection, use and disclosure of my personal information as described in this paragraph. I agree that the personal information provided above may be used and disclosed by UNICAR AUTO GROUP and its agents or service providers (collectively, the "Dealer") as necessary to obtain credit, financial and related personal information (including a credit or consumer information report) about me from any credit bureau or credit reporting agency, and to advise me on credit availability in connection with product and/or service purchase financing. I further agree that the personal information provided above may be disclosed to the provider of Dealer’s website hosting or related services for the purpose of enabling Dealer to access my personal information for marketing purposes. Personal information I provide, and credit information obtained may also be retained by Dealer and used to facilitate the application process should I subsequently choose to apply for credit through Dealer.

Initial of applicant: *  

Date * Format (yyyy-mm-dd)

Initial of co-applicant, if for joint account:   

Date Format (yyyy-mm-dd)