Richmond Suzuki

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Loan Information

Down Payment: *

Trade In: *

Applicant Type: *

Desired Vehicle

Year:

Make:

Model:

Employment Information

Employer: *

Occupation: *

Monthly Income: *

At Current Job for: Years Months *

Phone: *

Address: *

City:

Province:

Postal Code:

Applicant Contact Information

First Name: *

Last Name: *

Email:

Phone Number: *

Street: *

City: *

Province: *

Postal Code: *

Contact Preference:

Date of Birth: *

SIN: *

THIS IS NOT A SECURE FORM

DISCLOSURE AND CONSENT / USE OF INFORMATION

The word "information"means your personal information. It includes information provided to us by you, including through the products and services you use, and obtained from others with your consent. You agree that we may use the information to establish and serve you as our customer, that the information is for the purpose of completing the credit application, and submitting it for a credit check and/or approval, to one or more lenders, and credit reporting agencies. You authorize related parties to provide information on your credit history to us as required. You authorize any or all of the above creditors listed to disclose the outstanding balance on the loan or lease listed above to Richmond Suzuki.

Once you have read and understand the Disclosure Agreement, Submit Application.