705-560-5734
1463 Fairburn St, Sudbury, ON
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Home
Inventory
Ceramic Pro
Services
Clean Packages
Oil Spray – Under Coating
Financing
Contact
Financing
Name
First Name
*
Middle Initial
Last Name
*
Marital Status
*
Single
Married
Common Law
Divorced
Date of Birth
*
SIN Number
Current Address (Number and Street)
*
Apt
Phone Number
*
Email Address
*
City
*
Province
*
Postal Code
*
How long have you lived at this address?
*
Rent or Own?
*
Rent
Own
Rent / Mortgage Payment
*
Employer Name
*
Position Held
*
Monthly Gross Income
*
Have you declared bankruptcy/credit counseling?
No
Yes
Authorization
*
YES
I/we authorize and consent to AutoBuff and to their lending brokers use of personal and credit information for any reasonable purpose related to the transaction and agree that a personal investigation may be conducted and/or a credit report obtained with respect to the information I/we provide. I/we are aware and consent that this information and any other I/we provide to AutoBuff and its brokers is true and may be shared with third parties in order to arrange financing.
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