| Applicant Information |
| First Name: |
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| Initial: |
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| Last Name: |
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| Province |
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| Date of Birth |
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| Drivers License #: |
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| S.I.N #: |
Optional |
| Co-Applicant Information (If applicable) |
| First Name: |
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| Last Name: |
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| Initial: |
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| Province: |
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| Date of Birth |
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| Drivers license: |
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| S.I.N.: |
(optional) |
| Contact Information |
| Daytime Phone: |
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| Evening Phone: |
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| Email: |
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| Finance Information |
| Loan Type: |
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| Down Payment; |
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| Desired Monthly Payment;: |
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| Residence Information |
| Property Type: |
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| Rent or Own? |
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| Occupancy: |
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| Address Street 1: |
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| Address Street 2: |
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| City: |
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| Postal Code |
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| Mortgage Holder/Landlord: |
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| Monthly Mortgage/Rent: |
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| Purchase Price: |
Only if applicable |
| Appraised Value: |
Only if applicable |
| Mortgage Balance: |
Only if applicable
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| How long at current residence?: * |
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If living at above address 3 years or less please supply
previous address below |
| Address Street 1: |
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| Address Street 2: |
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| City: |
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| Postal Code: |
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| Own or Rent?: |
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| Employment Information |
| Employer: |
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| Address: |
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| City: |
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| Occupation: |
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| Work Phone: |
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| Length of employment: |
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Monthly
Gross Pay:: |
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Other income,
Including details: |
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| Amount: |
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Co-Applicant Employment Information (If applicable) |
| Employer: |
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| Address: |
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| City: |
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| Occupation: |
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| Work Phone: |
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| Length of employment: |
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| Gross Pay: |
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| Trade-In: |
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Please put a check in the box after reading below.
Thomson Auto & RV or any finance or leasing source(s) may delegate or obtain any credit information about myself and/or my spouse from any credit bureau, employer, or any other person in connection with my conditional sales agreement/contract, and may also disclose (automatically or upon request), credit information about me to credit bureau's and to persons with whom I have or propose to have financial dealings or if it believes the disclosure is required by law.
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