Financing Application - Expertech Auto

Step 1 of 3

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Applicant Information
Applicant's Name*
First Middle Last
Phone*
Email
Street Address*
Address City Province Postal Code
Mailing Address
(If different from Street Address.)

Address City Province Postal Code
Social Insurance Number
Date of Birth*
Applicant*
- Rents
- Owns
Rent or Mortgage Payment*
Time Living at Above Address*
Please indicate in Years & Months:
Street Address*
Address City Province Postal Code
Mailing Address
(If different from Street Address.)

Address City Province Postal Code
Employer*
How long have you been working at present place of employment?*
Please indicate in Years & Months:
Salary*
Position*
Work Phone
Other Income
Please indicate amount and source.
Applicant Comments
Do You Have a Co-Applicant?*
- Yes
- No

Co-Applicant Information
Co-Applicant's Name*
First Middle Last
Phone*
Is Address Same as Applicant?*
- Yes
- No
Social Insurance Number
Date of Birth*
Employer*
How long have you been working at present place of employment?*
Salary*
Position*
Work Phone
Co-Applicant Comments

Terms & Conditions*
By completing this application request I acknowledge that I am in no way guaranteed immediate financing approval. I understand that the information gathered will be submitted to a third party company (Citifinancial and or Citi Affiliates of Canada) on my behalf. The information retrieved through this preliminary online application is, to the best of my knowledge, complete and accurate. I agree that Expertech Auto Inc. and its administration may contact me to verify that all information is correct and obtain permissions and or signatures required to submit for final approval. I further consent to the use and disclosure of my personal information as described in this application and in the Canada Privacy of Personal Information Statement (privacy Statement) as amended from time to time, and as permitted or required by law (https://www.ontario.ca/page/privacy-statement) for the purposes of seeking personal financing. I understand that I may be contacted by a representative of Citifinancial Canada which may be necessary to obtain further information, proof of income(s) or credit report information for the purposes of completing the finance processes. Expertech Auto assures the applicant that any and all financial information obtained in this form will be deemed personal and confidential and held in complete privacy free from disclosure and or use for anything other than the intended financing purposes. Upon the approval of financing all matters pertaining to payments, interest, charges, credit increases, default and or collections are in direct relation between the Applicant, co-applicant and Citifinancial Canada. Expertech Auto Inc. remains only as the merchant and or supplier of services as detailed in the Citifinancial finance agreement.
- I understand.
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Step 1 of 3

Applicant Information

Co-Applicant Information