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General Info

Wolfe Chevrolet Credit Application

To apply for credit online fill out and submit the form below.

We will be happy to preocess your request and will reply to the email address or phone number provided.

(Primary applicant and joint applicants must complete separate forms)

Primary or Joint Applicant *
Primary Applicant
Application is for joint credit with primary applicant or as a guarantor
Primary Applicant is relying on you for income for alimony, child support, or separate maintenance or on your income or assets as the basis for repayment of the credit requested.

If Joint Applicant, what is the relationship to the applicant? *
Spouse
Family
Other

Personal Information

First Name: *
Middle Initial:
Last Name: *
Home Phone: *
Date of Birth (mm/dd/yyyy): *
E-Mail Address: *
Cell Phone: *
Fax Number: *
SIN:
Full Address: *
Time at this address (mm/yy): *
Previous Address: (if less than 2 years at present address)
Time at this Address (mm/yy)

Residence Information
Number of Dependants: *
Landlord/Mortgage Holder: *
Address of Above: *
Monthly Payment: *
Market Value: *
Mortgage Amount: *

Employment Information
Current Employer Name: *
Full Time?: *
Occupation: *
Address: *
Phone Number: *
Time On Job (mm/yy): *
Salary: *
Monthly / Yearly: *
Other Source of Income
Amount of Other Income
Previous Employer (If less than 5 years at current employer)
Address
Time On Job

Have you ever had a car repossessed?: * Yes No If Yes, when? (mm/yy)
Have you ever filed for bankruptcy?: * Yes No If Yes, when? (mm/yy)
For the purpose of securing credit from you, I / we make the above representation and I / we certify that the above information is true and complete to the best of my / our knowledge. I /we agree and consent investigation and exchange of credit information from any credit bureau. I / we further certify that I / we have attained the age of majority. I Agree*