CO-APPLICANT ONLINE CREDIT APPLICATION

Personal Information:

Primary Buyers Name*: 

Relationship to Buyer*:


* Required Field

       
First Name*                     Initial*     Last Name*

           
Home Phone*                   Cell Phone                        E-mail

                       
Birth Month*       Date*     Year*             Marital Status*      SIN*

           
Address*                           City*                                Province*                                      Postal Code*

Time at this address:* Year(s)    Month(s)    Rent    Own
 

If you rent your home please complete the following:

Monthly Rent Payment:*  $   
Landlord Name:*    Landlord Phone Number:*

If you own your home, please compete the following:

Purchase Price: $    Current Value: $    Banalce Owing: $
 

Monthly Payment: $    Mortgage Holder:

**If you have lived at your current address for less than 2 years, please complete the following:

           
Previous Address           Previous City                  Previous Province                     Previous Postal Code
Length of time at Previous Address: Year(s)    Month(s)

Employment Information

                   
Employer*                                         Occupation*                      Employer Address*                                    Phone #*

Time Employed*    Year(s)    Month(s)

If you have been at your current job for less than 2 years, please complete the following:

           
Employer*                                          Occupation*                      Employer Address*                                     Phone #*

Time Employed*    Year(s)    Month(s)

Financial Information

Gross Monthly Income*:    $    Additional Income:    $    Source of Additional Income:    
(before taxes)

Cash Available for Down Payment:*  $    Maximum Affordable Monthly Payment:*    $                     

Have you ever filed for bankruptcy?:*    Yes    No
Bankruptcy Discharge Date:                    Bankruptcy Trustee:   
                                                      Month                  Date        Year        

BY CLICKING ON THE SUBMIT BUTTON YOU CONFIRM THAT ALL INFORMATION ENTERED IN THIS APPLICATION IS TRUE AND YOU GIVE YOUR CONSENT TO JIB AUTOMOTIVE LTD. o/a JAMES TOYOTA LTD. TO SEARCH FOR CREDIT TO PURCHASE A VEHICLE ON YOUR BEHALF.