Loan Application to Great 1 Motors

Step 1 of 3

Vehicle Loan Application
Which vehicle would you like to buy?
Do you want to include a warranty into the financing?
If you want to put a down payment, please tell us the desired amount
Desired Payment Frequency
CONTACT INFORMATION
Salutation
Full Name*
FIRST NAME MIDDLE NAME LAST NAME
Home Phone Number
Cell Phone Number*
Email Address*
PERSONAL INFORMATION
Date of Birth*
MM slash DD slash YYYY
SIN
Marital Status*
Number of Dependents
CURRENT HOME ADDRESS
Address*
Street Address PO Box City Province Postal Code
Years at Address*
Months at Address*
PREVIOUS HOME ADDRESS
Please provide your previous home address if you have been at your current address for less than 2 years.
Previous Address*
Street Address PO Box City Province Postal Code
Years at Previous Address*
Months at Previous Address*

EMPLOYMENT INFORMATION
Employer*
Occupation*
Years at Employment*
Months at Employment*
Work Phone Number
Address of Employer
Street Address PO Box City Province Postal Code
Gross Monthly Salary*
PREVIOUS EMPLOYMENT INFORMATION
Please provide your previous employment information if you have been at your current employment for less than 2 years.
Previous Employer*
Previous Occupation*
Years at Previous Employment*
Months at Previous Employment*
Work Phone Number
Address of Employer
Street Address PO Box City Province Postal Code

OTHER INCOME
Do you have any additional income to include in your application?
Amount (1)
Source of Income
Amount (2)
Source of Income
Amount (3)
Source of Income
HOUSING INFORMATION
Home Status*
Monthly Housing Payment
Market Value of House
Mortgage Holder (Lender)
Balance in Mortgage
ASSET INFORMATION
Do you have any asset information to include in your application?
Second House or Cabin ADDRESS
Second House or Cabin VALUE
Currently Owned Vehicles (1) YR MAKE MODEL
Currently Owned Vehicles (1) VALUE
Currently Owned Vehicles (2) YR MAKE MODEL
Currently Owned Vehicles (2) VALUE
ATV, Snowmobile, Camper, Boat (1) YR MAKE
ATV, Snowmobile, Camper, Boat (1) VALUE
ATV, Snowmobile, Camper, Boat (2) YR MAKE
ATV, Snowmobile, Camper, Boat (2) VALUE
RRSP VALUE
TFSA VALUE
Savings VALUE
Other Description
Other VALUE
CO-SIGNER
Do you want to add another person to the loan?
Co-Signer Required
Relationship
Name
First Last
CONSENT
By checking this box, 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 Epic and/or 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.
*
I have read and agree to the Terms & Conditions above
I consent to receive Commercial Electronic Messages

Step 1 of 3

Vehicle Loan Application

CONTACT INFORMATION

PERSONAL INFORMATION

CURRENT HOME ADDRESS

PREVIOUS HOME ADDRESS

EMPLOYMENT INFORMATION

PREVIOUS EMPLOYMENT INFORMATION

OTHER INCOME

HOUSING INFORMATION

ASSET INFORMATION

CO-SIGNER

Co-Signer Required

CONSENT

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