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StreetXtreme Auto Gallery
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StreetXtreme Auto Gallery (Sales and Service):
5829 Highway 7
,
Markham
,
ON
,
L3P 1A5
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StreetXtreme Autobody:
8 Laidlaw Blvd
,
Markham
,
ON
,
L3P 1W6
905-554-8628
905-554-8628
INVENTORY
INVENTORY
CLEARANCE / TRADE-INS
FINANCING
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FINANCING APPLICATION
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Financing Application
What is your budget?
Under $250/month
$250 - $400/month
$400 - $600/month
Over $600/month
First Name
*
Last Name
*
Email
*
Phone Number
*
Birth Date
*
Day
Month
Year
Current Postal Code
*
Province
*
Ontario
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
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Home Type
*
Rent
Own With Mortgage
Own Free & Clear
Lives with Parents
Street Address
*
City
*
Years at address:
Months at address:
Monthly Rent
Name of Landlord
Monthly Payment
Name of Mortgage Holder
Home Market Value
Remaining Amount
Employment Status
Full Time
Part Time
Contract
Social Insurance Number
Occupation
Present Employer
Employer Address
Street Address
City
Alberta
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Province
Postal Code
Work Phone
Duration (Years)
Duration (Months)
Monthly Income
*
What would you rate your credit?
Good Credit
Average Credit
No Credit
Bad Credit
Do you have a trade-in?
Yes
No
Do you have a co-signer for your financing?
No
Yes
Trade-in Vehicle Year
Trade-in Vehicle Make
Trade-in Vehicle Model
Desired Vehicle Year
Desired Vehicle Make
Desired Vehicle Model
Cosigner Full Name
*
Cosigner Address
*
Street Address
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
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Province
Postal Code
Cosigner Phone Number
*
Cosigner Current Employer
*
Cosigner Occupation
*
Cosigner Birthdate
*
Month
Day
Year
Cosigner Gross Monthly Income
*
Who assisted you today?
Consent
*
I certify that each of the statements made and answers given in this credit application are true and correct and is made for the purpose of inducing the financing of the purchase of a motor vehicle. I authorize the obtaining of a consumer report to be used in evaluating this application and the obtaining and exchanging of credit information from and with other creditors and consumer reporting agencies.
*
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