Pre-Approved Credit Application

MAINTENANCE TIPS
MORE INFORMATION

Speed up your purchase or your lease by making an on-line credit check!

This is not an official document. We will contact you as soon as the process is completed.

* - Mandatory fields

Are you?

Primary Applicant
Joint Applicant

If Joint Applicant, are you?

Application is for joint credit with primary applicant as a guarantor.
Primary Applicant is relying on you for income for alimony, child support, or seperate maintenance or on your income or assets as the basis for repayment of the credit requested.

If Joint Applicant, Relationship to Applicant

S - Spouse
F- Family
O - Other

I plan to buy
(or lease) a vehicle in

PERSONAL INFORMATION

*Name:

Date of birth (year/month/day):

Social Insurance Number:

*Driver's licence number:

*Email:

Phone (with area code):

Fax (with area code):

Address:

City:

Province:

Postal Code:

At this address since:

OWNER (if applicable)

Mortgage Institution:

Phone (with area code):

Account number:

TENANT (if applicable)

Name of landlord:

Phone (with area code):

Monthly Rent $:

OTHER (if applicable)

Specify:

Balance $:

House Value $:

PRESENT EMPLOYER

Company or Owner:

How long (years, months):

Position:

Phone at work:

Income $:

PREVIOUS EMPLOYER

Company or Owner:

How long (years,months):

Position:

Phone at work:

2ND PREVIOUS EMPLOYER

Company or Owner:

How long (years,months):

Position:

Phone at work:

OTHER SOURCE OF INCOME

Specify:

Amount $:

ASSETS, OTHER THAN ABOVE (EX: RRSPs, INVESTMENTS, ETC.)

Specify:

Nature:

Value $:

INFORMATION ON THE CAR TO BE FINANCED

Desired vehicle:

Make:
Model:
Year:

Trade-in vehicle:

Make:
Model:
Year:
Millage:
Value:
Balance:

Cash down payment:

Monthly budget:

/month

BANK ACCOUNT INFORMATION

Bank Name:

Address:

Phone (with area code):

Have you ever been bankrupt?

No Yes

Do you have a credit card?

No Yes

If yes, specify the type:

Visa Mastercard Amex Other

If yes, specify the number:

OTHER BANK ACCOUNT INFORMATION

Bank Name:

Address:

Phone (with area code):

This hereby authorizes Dave Wood Mazda and affiliate companies to obtain a credit report on all the information provided above.

YES! I want to receive information on future contests, surveys, special promotions and new content from "Dave Wood Mazda".