Loan application

1. Buyer information
2. Credit information
3. Previous address
4. Previous employment
5. Message
6. Disclosure & Privacy Notice

Buyer information

Credit information

Previous address

Previous employment

Message

Disclosure & Privacy Notice

By checking this box, I consent to the collection, use and disclosure of my personal information as described in this paragraph.

I agree that the personal information provided in this form may be used and disclosed by Autousagee.ca, its representatives, agents or suppliers only to solicit credit. Any information about me from any credit bureau or credit reporting agency will be used solely to advise me on credit availability in connection with the purchase of a vehicle or related complementary products.

The personal information that I provide and credit information obtained can also be retained by the merchant and used to facilitate the application process should I subsequently choose to apply for credit through the merchant.