Car Financing

Speed up your purchase or your lease
by making an online credit check!

This is not an official document.
We will contact you soon to complete the process.
Personal information
*Fields marked with an asterisk are mandatory
First name: *
Last name: *
Birth date:
(YYYY/MM/DD)		 / /
Social insurance number:
Driver's license number: *
E-mail: *
Telephone:    - ext.:
Fax:    -
Address:
City:
Province:
Postal code: (format : A9A 9A9)
At this address since:
(years or months)
Situation
Owner Tenant Other
Owner
Mortgage institution:   
Telephone:       -
Account number:   
Current employer
Company or owner:   
Since:
(years or months)		   
Position:   
Telephone:       - ext:
Income:   
Previous employer
Company or owner:   
Employment duration:
(years or months)		   
Position:   
Telephone:       - ext:
Second previous employer
Company or owner:   
Employment duration:
(années ou mois)		   
Position:   
Telephone:       - ext:
Other source of income
Specify:   
Amount:    $
Other assets (ex: RRSPs, investments, etc.)
Specify:   
Nature:   
Value:    $
Financed vehicle information
*Fields marked with an asterisk are mandatory
Desired vehicle
Make: *
Model: *
Year: *
I plan on getting this car in: *
Cash down payment: * $
Monthly budget: * $ /month
Trade-in
Make:
Model:
Year:
Kilometers: km
Value: $
Balance: $
Bank account information
*All fields are mandatory
Financial institution name: *
Address: *
Telephone: *    -
Have you ever been bankrupt?: *
Yes No
Do you have a credit card?: *
Yes No
Visa
Mastercard
Amex
Other
Number :
Other bank account (if applicable)
Financial institution name:   
Address:   
Telephone:       -
This hereby authorizes Spinelli Lexus Pointe-Claire and affiliate companies to obtain a credit report on all the information provided above.

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