965, boul. St-Joseph, Hull (Québec)
Tel.:
819 776-0077
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Business Hours
Monday:
9 a.m. to 9 p.m.
Tuesday:
9 a.m. to 9 p.m.
Wednesday:
9 a.m. to 9 p.m.
Thursday:
9 a.m. to 9 p.m.
Friday:
9 a.m. to 6 p.m.
Saturday:
9 a.m. to 5 p.m.*
*Closed on Saturdays during July and August.
Car Financing
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by making an online credit check!
This is not an official document.
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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:
Tenant
Landlord's name:
Telephone:
-
Monthly rent:
$
Other
Specify:
Balance:
$
House value:
$
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:
*
1-2 weeks
3-4 weeks
2-3 months
4-6 months
6-12 months
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:
-
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