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APPLICATION

Return

Selling Dealer (If Any)

PERSONAL INFORMATION

FIRST NAME

MIDDLE NAME

LAST NAME

PHONE #

DATE OF BIRTH

MARITAL STATUS

GENDER

ADDRESS

STREET NAME AND NUMBER

CITY

PROVINCE

POSTAL CODE

TIME AT RESIDENCE

RENT/OWN/OTHER

EMPLOYMENT

EMPLOYER NAME

OCCUPATION

PHONE #

STREET NAME AND NUMBER

CITY

PROVINCE

POSTAL CODE

TIME EMPLOYED

FULL TIME/PART-TIME/OTHER

FINANCIALS

GROSS MONTHLY INCOME

MONTHLY MORTGAGE OR RENT

OUTSTANDING MORTGAGE

Include Coapplicant

VEHICLE INFORMATION

VIN

YEAR

MAKE

MODEL/TRIM

COLOUR

CURRENT KMS

TOTAL PRICE BEFORE TAX

DOWN PAYMENT

MAX DOWN PAYMENT IF NEEDED (optional)

ADDITIONAL NOTES

Include Trade-in

Files

By proceeding with this Application, the Applicant(s) hereby provides consent to Kia Yorkdale and/or any of its employees, agents or assignees to conduct credit investigations on the Applicant(s) and/or obtain credit or personal information reports from consumer reporting agencies and/or share any information on the Applicant(s) with any creditor and/or credit reporting agency as reasonably required for the purposes of this Application.