Premium Auto Sales

PLEASE FILL IN THE FOLLOWING INFORMATION. THE PURPOSE OF THIS FORM IS TO HELP US ASSESS YOUR FINANCIAL SITUATION. AFTER REVIEWING THIS FORM WE WILL BE ABLE TO RECOMMEND THE BEST METHOD OF FINANCING FOR YOU.

	FIRST NAME
	MIDDLE NAME
	LAST NAME
	S.I.N. #
	DATE OF BIRTH - DD/MM/YYYY
	CONTACT NUMBER
	ADDRESS 1
	ADDRESS 2
	CITY
	PROVINCE
	POSTAL CODE
		*IF YOU HAVE BEEN AT YOUR CURRENT ADDRESS FOR LESS THAN 1 YEAR PLEASE ENTER YOUR PREVIOUS ADDRESS.
	ADDRESS 1
	ADDRESS 2
	CITY
	PROVINCE
	POSTAL CODE

	EMPLOYMENT	FULL TIME PART TIME SELF EMPLOYED SEASONAL
	EMPLOYER
	HOW LONG HAVE YOU BEEN EMPLOYED?
	EMPLOYER CONTACT
	EMPLOYER PHONE
	GROSS MONTHLY INCOME(BEFORE TAX)

		*IF YOU HAVE BEEN WORKING FOR LESS THAN ONE YEAR AT YOUR CURRENT PLEASE FILL IN YOUR PREVIOUS EMPLOYMENT INFORMATION.
	EMPLOYMENT	FULL TIME PART TIME SELF EMPLOYED SEASONAL
	EMPLOYER
	HOW LONG HAVE YOU BEEN EMPLOYED?
	EMPLOYER CONTACT
	EMPLOYER PHONE
	GROSS MONTHLY INCOME(BEFORE TAX)

	HOME STATUS
	MONTHLY PAYMENT
	HAVE YOU EVER CLAIMED BANKRUPTCY?	YES NO
	IF SO HOW LONG HAVE YOU BEEN DISCHARGED?
	WHAT KIND OF A MONTHLY PAYMENT ARE YOU LOOKING FOR?
	IS THERE A CERTAIN VEHICLE THAT YOU ARE INTERESTED IN? IF SO WHAT KIND OF VEHICLE?

		"by submitting an application to Premium Auto Sales Inc. online or otherwise, the applicant(s) are giving consent to Premium Auto Sales Inc. and staff to share the information with lending intuitions in the process of obtaining an auto loan for the applicant(s)"

		* OUR STAFF WILL REVIEW YOUR INFORMATION AND CONTACT YOU WITHIN THE NEXT BUSINESS DAY. THANK YOU.

HOME. INVENTORY. FINANCING. SERVICE. STAFF. ABOUT US. CONTACT US.