Fillable Printable Car Loan Application Form - Bank West
Fillable Printable Car Loan Application Form - Bank West
Car Loan Application Form - Bank West
VEHICLE FINANCING APPLICATION FORM
DEALERSHIP: TELEPHONE:
Make: Model: Year:
VIN#: KM’S:
Trade Details
Purchase Price: ____________________ Life Ins: _________________________ Year: ___________________
Admin Fees: _______________________ Dis. Ins: _________________________ Make: ________________________
Cash Down: _______________________ Ext War: ________________________ Model: ________________________
Trade In: __________________________ Pro Pac: _________________________ Value: ________________________
Lien Payout: _______________________ GST: ____________________________ Payout made to:
Total Financing Request: ____________________ ______________________________
Interest Rate: ____________Payment :__________________ Term/Amort:_________
APPLICANT SURNAME FIRST NAME MIDDLE
DATE OF BIRTH
SIN #
Married Single
Divorced Separated
MR MRS MISS MS
PHONE #
PRESENT ADDRESS
How Long?
CITY
PROVINCE
POSTAL CODE
PREVIOUS ADDRESS (IF LESS THAN 2 YRS)
How Long?
CITY
PROVINCE
POSTAL CODE
EMPLOYER SELF EMPLOYED (YES/NO)______
HOW LONG?
PHONE #
NUMBER OF DEPENDENTS
OCCUPATION/POSITION
ADDRESS
ANNUAL INCOME
PREV. OCCUPATION & EMPLOYER (IF LESS THEN 2 YEARS)
HOW LONG?
PHONE #
CO-APPLICANT SURNAME FIRST NAME MIDDLE
DATE OF BIRTH
SIN #
RELATIONSHIP TO APPLICANT
HOME ADDRESS HOW LONG?
CITY
PROVINCE
POSTAL CODE
PREV. ADDRESS (LESS THAN 2 YRS) HOW LONG?
CITY
PROVINCE
POSTAL CODE
OCCUPATION /POSITION
PHONE #
EMPLOYER SELF EMPLOYED (YES/NO) _______ HOW LONG?
ADDRESS
ANNUAL INCOME
PREV. EMPLOYER IF LESS THAN 2 YRS HOW LONG?
PHONE#
OTHER SOURCES OF INCOME:
Mortgage Company: Value: Present Balance: MTG PMT/ RENT:
Landlord (renting): PI PIT
FINANCIAL INSTITUTION: Accounts: CHQ SAV
OTHER ASSETS:
CREDIT REFERENCES (INCLUDE BANK LOANS, FINANCE COMPANIES, LINE OF CREDIT, CREDIT CARDS, OTHER)
Name Address Account # Date Opened Cr Limit Mthly Pmt Balance
Personal References 1) Address Phone#
2) Address Phone#
PRIVACY IN BANKING
1. By signing below, you authorize BANK WEST (“we” or “us”) to collect your credit and other relevant personal information (a) from you on this form and from time to time
through other mechanisms, (b) from the auto dealership representative (the “Broker”), and (c) from credit bureaus, other credit granters, in each case as required for use for
the purposes of making a decision on your application for credit; protecting you and us against fraud and error; as permitted or required by law; to understand your needs; to
determine your eligibility for our products and services; and to help us match our products and services to your needs and for such other purposes for which you may provide
consent from time to time (the “Purposes”).
2. By signing below, you also authorize us, from time to time, to (a) disclose relevant personal information to the Broker, in order that the Broker may provide you with
information in connection with the Purposes; (b) disclose your credit and other relevant personal information to credit bureaus and other credit granters as required for the
purposes of such parties making a decision on your applications for credit after the removal of your personal identifiers, creating market analyses and other statistical studies;
(c) disclose your personal information to third party service providers for the purposes of debt collection and the registration of liens and other security interests relating to
credit provided to you, for dispute resolution purposes; and (d) disclose your personal information as required or permitted by law.
3. If you have any questions about the personal information we have on our file on you, contact Bank West toll free at 1- 888 -440 -2265.
By signing below, you certify that the information in this application is true and correct and that you authorize us to rely on such personal information.
Bank West will contact the car dealership representative with its approval or decline with respect to a loan request made.
___________________ ___________________________________ ________________________________________
DATE APPLICANT’S SIGNATURE CO-APPLICANT’S SIGNATURE
