Personal Credit Application

*Applicant Type

Applicant Information

*Prefix

*First Name

*Last Name

* Gender

*Marital Status

*Date of Birth

*Phone Number

*Email

Drivers License Number

Drivers License Expiry Date

SIN NumberIf you do not share your SIN. We will contact you to retrieve it over the phone.

Lease/Finance Information

*Vehicle you are interested in

*Name of Leasing Representative

*Are you purchasing the vehicle from another dealership (other than Continental RLS)?

*Applying for

*Deposit Amount

Resident Information

Current Home Address

*Unit/Apt no.

*Street no.

*Street name

*City

*Postal Code

*Province

*Country

*Time at Residence

*Home/Mortgage Status

Current Employment

*Employee Status

Length of Employment

Employer name

Occupation

Employer Phone Number

Company Address

Unit/Apt no.

Street no.

Street name

City

Postal Code

Province

Country

Income Details

*Gross Income (Monthly)

*Have you ever been bankrupt?

Other Income (Monthly)

Other Income Description

*Annual Total

CLIENT AUTHORIZATION & SERVICE AGREEMENT
IN THIS AGREEMENT, “I”, “WE”, “OUR”, “MY”, “US” MEANS THE APPLICANT AND OR THE CO-APPLICANT APPLYING FOR SERVICES OFFERED BY CONTINENTAL RLS.
I/WE HEREBY CERTIFY THAT THE INFORMATION PROVIDED THROUGH THIS SECURE PORTAL IS TRUE, ACCURATE, AND COMPLETE AS OF THE SUBMISSION DATE. I/WE FULLY UNDERSTAND THAT SUCH INFORMATION, HOSTED ON DEDICATED CANADIAN SERVERS, SHALL BE USED TO DETERMINE MY/OUR CREDITWORTHINESS IN ACCORDANCE WITH PRIVACY LAWS. I/WE UNDERSTAND THAT ALL INFORMATION WILL BE VERIFIED, AND ANY DISCREPANCIES OR INACCURATE DATA WILL RESULT IN THE IMMEDIATE TERMINATION OF THE APPLICATION.
I/WE HEREBY AUTHORIZE CONTINENTAL RLS TO DISCLOSE, FROM TIME TO TIME, TO LENDERS, CREDIT BUREAUS, OR OTHER REPORTING AGENCIES, ANY NECESSARY PERSONAL CREDIT INFORMATION CONCERNING THIS APPLICATION.
THE FINANCE FEE, PLUS APPLICABLE TAXES (13% HST), IS NON-REFUNDABLE AND BECOMES DUE IMMEDIATELY UPON APPROVAL. I/WE HEREBY AUTHORIZE AND DIRECT THE LENDER TO DEDUCT AND PAY CONTINENTAL RLS THE AFOREMENTIONED FEE DIRECTLY FROM THE LOAN PROCEEDS. THIS DOCUMENT SHALL SERVE AS GOOD, SUFFICIENT, AND IRREVOCABLE AUTHORITY FOR SUCH DISBURSEMENT.

* I Consent

*Signature

*Date of Signe