Rymon - Merritt Financial

Finance Form
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What vehicle are you interested in?
Are you a*
Who are you co-applying with?*
Name*
First Last
Email*
Enter Email Confirm Email
Phone*
What is your citizenship status?*
What is your date of birth?*
Month
Day
Year
What is your relationship status?*
What is your social insurance number (SIN)?
Address
Address*
Street Address Address Line 2 City Postal Code
Do you rent or own your property?*
How much is your monthly payment?*
How many years have you lived at this address?*
How many months?*
Previous Address*
Street Address Address Line 2 City Postal Code
Employment
What is your employment situation?*
Who is your employer?*
What is your position or occupation?*
What is your employer's address?*
Street Address Address Line 2 City
What is your employer's phone number?*
What is your gross monthly income?*
How many years have you worked at this job?*
How many months have you worked at this job?*
What is your previous employer's address?
Street Address Address Line 2 City
Who is your previous employer?
What was your previous position or occupation?
What was your previous monthly income?
Do you have proof of income?*
Do you have other sources of income?
Final Questions
Have you ever been under bankruptcy or consumer proposal?*
What is the date of your discharge?*
Month
Day
Year
Do you have a valid driver's licence?*
What is your driver's licence number?*
What is your driver's licence expiry date?*
Month
Day
Year
I permit Rymon Auto Sales and their partners to store and process my personal data.*

I/WE warrant and confirm that the information given in this application form is true and correct and I/we understand that it is being used to determine my credit responsibility and to evaluate and respond to my/our request for financing, you are authorized to obtain any information you may require for these purposes from other sources, including for example credit bureaus and each source is hereby authorized to provide you with such information. I/we also understand, acknowledge and agree that the information given in this application as well as other information you obtain in relation to my credit history will be disclosed to potential lenders, insurers, and other service providers, organizations providing technological or other support services required in relation to this application and other parties whom I/we propose to have a financial relationship. I/we further acknowledge and agree that each potential lender, insurer, or service provider to whom you provide the application and/or my/our personal information is permitted to receive such application and information and maintain records relating to me/us, including my/our social insurance number if I/we provide it, and disclose personal information about me/us, you and from third persons, including credit bureaus, credit reporting agencies, collection agencies, financial institutions, past or present employers, creditors, and landlords. I/we specifically consent to the release and disclosure of personal information.
Name
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Finance Form

Address

Employment

Final Questions