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Finance Credit Application
APPLICANT INFORMATION
Stock Number
*
First Name
*
Last Name
*
Middle Name/Initial
*
DOB(yyyy/mm/dd)
*
S.I.N
Phone
*
Current Address
*
City/Province/Postal Code
*
Time at Address
*
Mortgage/Rent
*
Mortgage Balance
*
Property Value
*
Bank
*
Previous Address
*
City/Province/Postal Code
*
Time at Address
*
Mortgage/Rent
*
Mortgage Balance
*
Property Value
*
Bank
*
Employer Information #1
Employer Name
*
Address/ City/ Province/ Postal Code
*
Occupation
*
Rate of pay
*
Time at Job
*
Notes
Contact Phone
*
Employer Information #2
Employer Name
Address/ City/ Province/ Postal Code
Occupation
Rate of pay
Time at Job
Notes
Contact Phone
Bank
*
Assets Property
Assets Motorized
Assets Investments
Benefits Protection
I certify that the information in this application is complete and true. I/we authorize Stampede Leasing and/or their affiliates to investigate my/our credit and employment history, obtain credit reports or personal investigations and release information about their credit experience with me, provided that the information is released in accordance with local laws.
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