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PRIVACY POLICY. PLEASE READ.
I HEREBY AUTHORIZE THE BANK:
TO OBTAIN INFORMATION ON MY SOLVENCY OR FINANCIAL SITUATION FROM ANY PERSONS AUTHORIZED BY LAW, ANY PERSONS MENTIONED IN THE CREDIT REPORTS OBTAINED AND ANY OTHER FINANCIAL INSTITUTIONS UNTIL ANY OUTSTANDING AMOUNT IS FULLY REPAID.
TO USE MY SOCIAL INSURANCE NUMBER FOR IDENTIFICATION PURPOSES AND FOR DATA CONSOLIDATION, FOR THE SERVICES RENDERED BY THE BANK AND IT'S AFFILIATES.
TO SHARE THE INFORMATION IT HOLDS ON MYSELF WITH ANY OTHER PERSONS AUTHORIZED BY LAW, ANY PERSONAL INFORMATION AGENTS, ANY FINANCIAL INSTITUTIONS, ANY CO-APPLICANTS OR, WITH MY CONSENT, ANY OTHER PERSONS WHO SO REQUEST IT.
TO COMMUNICATE TO THE MERCHANT, THROUGH WHOM I AM MAKING THIS APPLICATIONS THE RESULT OF ANY CREDIT REPORT AND THE INFORMATION JUSTIFYING ITS DECISION TO GRANT OR REFUSE THE LOAD.
I REPRESENT AND WARRANT THAT ALL PERSONAL INFORMATION SET OUT HEREIN IS TRUE AND COMPLETE.

*First Name
*Middle Initial
*Last Name
*Date of Birth (MM/DD/YYYY)
Social Insurance Number
*Home Phone (with area code)
*Mobile Phone
*Email Address
EMPLOYMENT INFORMATION
* Employer
* Employer Phone (with area code)
* Employer Address
* Employer City
* Employer Province
* Employer Postal Code
Occupation
* Time with Current Employer
Monthly Income (Before Tax)
RESIDENTIAL INFORMATION
* Current Address
* City
Postal Code
Monthly Rent/Mortgage or Other Payment
Amount Owing on Mortgage
Mortgage Holder
* Time at Residence
OTHER INFORMATION
Your Bank's Name
What type of vehicle are you interested in?
Do you have a trade-in?	Yes No
Approximate Downpayment
* How did you hear about us?
Search Engine
Referral
Other
I have read the privacy policy	Yes No
* Signature (retype your full name)