Fusion Auto :: Pre Approved Financing

Your Information

Name
SIN:
Address
Telephone: - Home -
Telephone: - Work -
Time at Address:
Best Time to Reach You:

Applicant

Employer:
Address:
Position:
Department:
Date of Birth:
Start Date:
Gross Annual Salary:

Co-Applicant

Employer:
Address:
Position:
Department:
Other Income:
Date of Birth:
Start Date:
Gross Anual Salary:

Personal Information

Assets

Real Estate (Value if owned):

Liabilities

Monthly Rent:
Monthly Mortgage Payment:
Home Value (if owned):
Approximate Left Owing:

Are you currently in bankruptcy or credit councelling procedures?

Yes

Have you been discharged from bankruptcy in the last 6 years?

Yes

If so, when?

Comments:

By submitting this information I agree to allow Fusion Auto Sales to seek credit approval on my behalf from the financial institutions that it deals with. This information is confidential and will not be used for any purpose other than seeking credit approval. I also understand that this does not obligate me to enter into any business transaction with Fusion Auto Sales should I decide not to.