Financing

First Name(required)

Initial(required)

Last Name(required)

Marital Status(required)

Date Of Birth(required)

SIN Number

Current Address (Number and Street Number)(required)

Apt

City and Province(required)

Postal Code(required)

How long have you lived at this address?(required)

Phone Number(required)

Rent or Own?(required)

Rent/Mortgage Payment(required)

Employer Name(required)

Position Held(required)

How Long?(required)

Monthly Gross Income(required)

Have you declared bankruptcy/credit counseling?(required)

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. (required)