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West York Chevrolet Credit Application

FREE Oil & Filter change for every application that's filled out completely.

Fields indicated (*) are required

Contact Information:

*Last Name:

*First Name:

*Date of Birth :
/ / (Year/Month/Day)

Drivers Licence #:

SIN #:

*Email:

*Phone #:

*Address:

*City:

*Province:

*Postal Code:

Home Status:
Rent      Own

Monthly Mortgage/Rent:

 

Present Employer:

*Company:

*Length of time at this company:

*Position Title:

*Work Phone:

*Annual Income:

 

Other source(s) of income:

Specify:

Amount $:

Information on the vehicle to be financed:

Make:

Model:

Year:

Cash Down :

Estimated monthly car
payment budget:

Trade-In Vehicle:

Make:

Model:

Year:

Mileage:

Bank Account Information:

Have you ever been bankrupt?:
Yes    No

Do you have a credit card?:
Yes    No

Comments:

If Yes, specify type:
(ex:Visa)

 
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