Repo Sales Credit :: Credit Application

Credit Application

Please provide the following information:

PERSONAL INFORMATION:

Applicants Name:	SIN:	Birth Date:	MM DD YY
Co-Applicants Name:	SIN:	Birth Date:	MM DD YY
Email Address:
Daytime Phone #:

ADDRESS INFORMATION:

Present Address:	City/Province:	How Long?:	Telephone:


Postal Code:	Rent/Own:	Monthly Payment (if applic):	Landlord Name & Phone:


Former Address (if < 2 yrs):		How Long:?

EMPLOYER INFORMATION:

Present Employer:	Position:	Monthly Gross:	How Long?:	Telephone:


Other Income/Empoyment:?		Monthly Gross:	How Long?:	Telephone:


Prior Employment:	Position:	Monthly Gross:	How Long?:	Telephone:


Spouse Employment:	Position:	Monthly Gross:	How Long?:	Telephone:

APPLICANT AUTHORIZATION: I authorize Rapid Motors and all affiliated companies to conduct a personal investigation and BY MY SUBMITTING THIS FORM ACCEPT AS NOTICE IN WRITING OF AND AUTHORIZE THE OBTAINING OF ANY INFORMATION REQUIRED RELATED TO THIS APPLICATION from any source to whom the Bank may apply, and each source is authorized to provide the Bank with such information. In addition, I authorize the Bank to disclose, in response to direct inquiries from any other lender or credit bureaus, any information concerning my loan and account that the Bank considers appropriate and I agree to indemnify the Bank and save it harmless from any and all claims on damages or otherwise arising from any such disclosure made by the Bank.

The applicant is advised that Rapid Motors or it's assignee intends to refer to a report from a credit reporting agency in connection with the sale transaction proposed; and the applicant consents to the obtaining of such information from his present and any future employer, any credit reporting agency or any other person Rapid Motors, or its assignee may require at any time in the connection with such transaction and to the disclosure of any information concerning the undersigned to any credit reporting agency or any person with whom the applicant has or proposes to have financial relations.

By clicking on the submit button below, you authorize Rapid Motors and applicable lending institutions to use this information to obtain credit information. I hereby certify that the information given above is accurate and true. I authorize Rapid Motors to obtain all the information it requires.