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*First Name:
*Last Name:
Address:
City:
Province:
Postal Code:
Time at this address:	years months
Residence Type:
*Phone (w):
*Phone (h):
Phone (c):
Email:
Social Insurance Number:
Birth Date:	mmm/dd/yyyy
Are you presently employed:
Name of Employer:
Length of Employment:	years months
Monthly Income (before taxes): $
Bankrupcy in past 7 year:
Available Cosigner:

Comments:

By selecting I accept, I authorize and consent to this credit investigation concerning me and performed by Central Preapproval/Presley's Auto Showcase Inc. and to their receipt and exchange of personal and credit information (including my social insurance number which I have willingly provided to Central Preapproval/Presley's Auto Showcase Inc. for the purposes of this transaction) with any credit bureau, financial institution and other entity with whom I have or propose to have a financial relationship. I further authorize credit bureaus and financiers with whom I have previously had, currently have or propose to have a financial relationship to provide Central Preapproval/Presley's Auto Showcase Inc. with personal information and credit information in order to complete the proposed transaction. Furthermore, I authorize and consent to Central Preapproval/Presley's Auto Showcase Inc's use of my personal information and credit information necessary for the purposes of the transaction.

I Accept: