Sunday September 05
A family business for more than 35 years!
   


  CREDIT APPLICATION

All Loans Are Based Upon Approved Credit
Consumer's Statement Application For Credit

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SELLING DEALER:      SALESMAN:
Personal Information For Applicant
Date of Birth:
Social Insurance #:
First Name & Initial(s):
Surname:

Address:

City/Town:

Prov/State:

Postal/Zip Code:

Years At Current Residence:

Residence:
 Own Rent
Telephone (Home):
Telephone (Work):
Telephone (Fax):
Email Address:
Employment Information

Current Employer:

Your Occupation:

Years of Service:

Employment Type:

Gross Yearly Income:

Credit Cards

Type Of Card:

Type Of Card:

Creditor's Name:

Creditor's Name:

Balance Owing:

Balance Owing:
List Loans & Credit Lines
Bank: Balance Owing: Monthly Pmt:
Bank: Balance Owing: Monthly Pmt:

Additional Comments:


 Are you interested in a lease or personal loan? Lease Loan
 Current Bank you use regularly?

Applicant Authorization:
By submitting this form you are in agreement with....
 L & M Financing & Leasing and all affiliated finance institutes may obtain credit information about me from my employer, any credit bureau or any other person in connection with my conditional sales agreement, and may disclose (automatically or upon request) credit information about me to credit bureau and to persons with whom I may have or propose to have financial dealing or if it believes the disclosure is required by law.

 
Thank You ~ L & M Financing & Leasing

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