Credit Application

DEALERSHIP NAME*
SALESPERSON
Item you are purchasing*
- BOAT
- MOTORIZED RV
- TRAILER
- POWERSPORT (MOTORCYCLE, ATV, SNOWMOBILE)
CONDITION
- NEW
- USED
YEAR*
MAKE*
MODEL*
APPROXIMATE PRICE BEFORE TAXES*
DOWN PAYMENT AMOUNT:
DO YOU HAVE A TRADE?*
- YES
- NO
YEAR MAKE
MODEL
APPROXIMATE VALUE
Personal Information
FIRST NAME*
MIDDLE NAME
LAST NAME*
PHONE*
CELL PHONE
EMAIL
DATE OF BIRTH*
MM
DD
YYYY
STREET ADDRESS*
CITY*
PROVINCE*
POSTAL CODE*
DURATION AT CURRENT ADDRESS:
YEAR MONTHS
By clicking next, you agree that the personal information above may be used and disclosed by DealerPlan and/or it’s agents or service providers (collectively the “Dealer”) as necessary to contact you to verify the above information along with the remaining pages completed. You are also agreeing to allow the Dealer to contact you using the information provided on this form.

DRIVER'S LICENSE NO.
DRIVER'S LICENSE EXPIRY*
MM
DD
YYYY
PROVINCE
ADDRESS SHOWN ON MY DRIVER'S LICENSE MATCHES MY CURRENT ADDRESS
- YES
- NO
MARITAL STATUS
- MARRIED
- SINGLE
- MARRIED
- SEPARATED
EMPLOYMENT TYPE*
- SELF EMPLOYED
- EMPLOYED
- RETIRED
EMPLOYER'S BUSINESS NAME
EMPLOYER'S ADDRESS
WORK PHONE NUMBER
JOB TITLE
DURATION
YEAR MONTHS
GROSS MONTHLY INCOME
OTHER INCOME
SOURCE OF OTHER INCOME
Please remember in some cases our lenders will ask for proof of income by way of your last pay stub or income tax assessment.

Applicant Information (Continued)
HOME OWNER
- YES
- NO
CURRENT MARKET VALUE OF PROPERTY or RENT AMOUNT
IS THERE A MORTGAGE?
- YES
- NO
WHAT COMPANY HOLDS MORTGAGE? MONTHLY PAYMENT
APPROXIMATE BALANCE NAME OF YOUR BANK?
Once we have an answer for you, we will need to contact you. Please select your preferred method of contact:
CONTACT METHOD*
- HOME
- WORK
- CELLULAR
- EMAIL
ADDITIONAL COMMENTS
By signing below, I consent to the collection, use and disclosure of my personal information as described in this paragraph. I agree that the personal information provided above may be used and disclosed by DealerPlan and/or its agents or service providers (collectively, the "Dealer") as necessary to obtain credit, financial and related personal information (including a credit or consumer information report) about me from any credit bureau or credit reporting agency, and to advise me on credit availability in connection with product and/or service purchase financing. I further agree that the personal information provided above may be disclosed to the provider of Dealer’s website hosting or related services for the purpose of enabling Dealer to access my personal information for marketing purposes. Personal information I provide and credit information obtained may also be retained by Dealer and used to facilitate the application process should I subsequently choose to apply for credit through Dealer. I have read and agree to the Terms & Conditions above.
I HAVE READ AND AGREE TO THE TERMS AND CONDITIONS:
Date*
APPLICANT'S INITIALS*

Co-Applicant Personal Information (If Applicable, if not please submit your Application)
FIRST NAME
MIDDLE NAME
LAST NAME
PHONE
EMAIL
DATE OF BIRTH
MM
DD
YYYY
Name
This field is for validation purposes and should be left unchanged.

Credit Application

Step 1 of 4

Personal Information

I HAVE READ AND AGREE TO THE TERMS AND CONDITIONS:

Co-Applicant Personal Information (If Applicable, if not please submit your Application)