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Inventory
About
Contact
Credit Application Form
Applicant Personal Information
Full Name*
Date of Birth*
SIN*
Phone*
Email*
Street*
Apartment/House*
City*
Province*
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Ontario
Prince Edward Island
Quebec
Saskatchewan
Postal Code*
Do you Rent or Own your Residence?
—Please choose an option—
Rent
Own
Time at Current Residence (years) ?
—Please choose an option—
1
2
3
4
5+
Previous Residence
Previous Residence
City
Province
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Ontario
Prince Edward Island
Quebec
Saskatchewan
Postal Code
Co-Signer Information
Full Name
Date of Birth
SIN
Address
Relative Information
Full Name
Relation
Contact Information
Address
General Corporation Information
Legal Business Name*
Contact Information*
Work Phone*
Years in Business* ?
—Please choose an option—
1
2
3
4
5+
Street Address*
City*
Province*
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Ontario
Prince Edward Island
Quebec
Saskatchewan
Postal Code*
% of Ownership*
Type of Business*
Corporation
Partnership
Proprietorship
Other
Financing and Lending Information
Name of the bank*
Branch*
Phone*
Number of dealings*
Any prior Repossessions* ?
—Please choose an option—
Yes
No
Any legal Suits* ?
—Please choose an option—
Yes
No
Any Bankruptcy*
—Please choose an option—
Yes
No
Personal Net Worth
Assets
Value
Residence*
$
Other Real Estate(s)*
$
Personal Cash/Savings*
$
Personal Vehicle(s)*
$
Investments/RRSP/TFSA/Gold*
$
Total Assets*
$
Liability
Value
Monthly
Mortgage*
$
$
Additional Mortgage/LOC*
$
$
Credit Cards (debts)*
$
$
Leased/Financed Vehicle(s) Auto Loan*
$
$
Total Liabilities*
$
$
Net Worth (Total Assets - Total Liabilities)*
$
Documents required to support this application
Corporation Registration Papers*
Last 3 months bank statements*
T2/Corporation tax return NOA*
Personal tax return NOA*
Driver's Licence*
PR Card / Passport*
Total Driving Experience (years)
Driving History as Company Driver
Current Employer*
Years*
Previous Employer*
Years*
Driving History as Owner Operator
Current Company*
Years*
Previous Company*
Years*
Equipment Information and Proposal
Equipment Cost*
Down Payment*
Term for Lease/finance (years)*
—Please choose an option—
1
2
3
4
5
6
7+
The personal information may be gathered and used by Charger Truck Sales Inc. or its affiliates, its assignees and potential assignees, to provide products and to perform services as may be requested by you. We may also disclose your personal information to third parties such as the manufacturer of your vehicle, credit reporting agencies, financial institutions of financing companies, your insurance agents or company and/or companies which provide or insure warranties relating to your vehicle. You are entitled to access this personal information that you provided and you may ask that it be updated and rectified. I acknowledge that the information, including personal information, may be processed and stored outside of Canada. We may also disclose your personal information where we are permitted by law to do so. By signing this application below, you have consented to these uses and disclosure.
Authorized Signatory*
Date*
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