Credit Application Form

Speed up your purchase or your lease
by making an online credit check!

This is not an official document.
We will contact you soon to complete the process.
Personal information
*Fields marked with an asterisk are mandatory
First name:
Last name:
Birth date:
(YYYY/MM/DD)		 / /
E-mail: *
Telephone:    - ext.:
Address:
City:
Province:
Postal code: (format : A9A 9A9)
Situation
Owner Tenant Other
Current employer
Owner name:   
Since:
(years or months)		   
Position:   
Telephone:       - ext:
Income:   
Financed vehicle information
I plan on getting this car in:
Cash down payment: $
Trade-in
Make:
Model:
Year:
Kilometers: km
Balance: $
Bank account information
Have you ever been bankrupt?:
Yes No
Do you have a credit card?:
Yes No
This hereby authorizes Crédit Auto de Montréal and affiliate companies to obtain a credit report on all the information provided above.

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