Online Credit Application

*All Information provided will be used for
Internal Use Only!
Any information that you do not feel comfortable inputting on this form must be submitted either in person or over the phone
within 48hrs after submitting your application! 
The sooner all the information is submitted,
the sooner you can get a response!

*Please fill out ALL FIELDS which include CONTACT INFO!
 

Applicant Information
 

Interested in Buying:
Type                    Year     Make/Model           Amount      
 

Trade in Description (If no trade leave blank):
Type                    Year        Make/Model          Amount Owed

Buyer:
Full Legal Name:  -Title- Mr. Miss Mrs. Ms.      

Date of Birth:  -MM- Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec -DD- 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

SIN: 

Marital Status:  -Select- Single Common Law Married Other

Residential Phone:   

Email:  

Present Address: 

How Long Have You Lived at Your Present Address? 
Years    Months 
(If less than 2 Years, Please Fill out Previous Address Information)

Previous Address: 

How Long Have You Lived at Your Previous Address? 
Years    Months 

Monthly Housing Costs: 
-Type- Rent Own with Mortgage Own Free and Clear Other   Monthly Payment:  
Mortgagee/Bank: 
Value of House: 

Amount Left Owing on House:

Land Lord Name (if Renting)
Land Lord's Phone Number

 

Other Monthly Obligations:  
-Type- Rental Property Alimony Child Support Other   Monthly Payment: 
-Type- Rental Property Alimony Child Support Other   Monthly Payment: 
-Type- Rental Property Alimony Child Support Other   Monthly Payment: 

Present Employment Details:
-Type- Full Time Part Time Retired Unemployed With Income Unemployed Without Income Seasonal Self-Employed Other   Employer: 
Occupation:   
How Long:  Years    Months 
Employment Address :
(If Less than 2 Years, Please Fill Out Prev. Employment Details)
Gross Monthly Income: 
Employer's Contact Name & Number: 
Accountant's Name & Number:

Previous Employment Details:
-Type- Full Time Part Time Retired Unemployed With Income Unemployed Without Income Seasonal Self-Employed Other   Employer: 
Occupation: 
How Long:  Years    Months 
Gross Monthly Income: 
Employer's Contact Name & Number: 
Work Address:
Accountant's Name & Number:

Details on Financed Vehicles:

Year:    Make: 
Model:   
Financed By:   
Balance Owing:    Monthly Payment: 

Year:    Make: 
Model:   
Financed By:   
Balance Owing:    Monthly Payment: 

Year:    Make: 
Model:   
Financed By:   
Balance Owing:    Monthly Payment: 

Co-Applicant Information

Full Legal Name:  -Title- Mr. Miss Mrs. Ms.      

Date of Birth:  -MM- Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec -DD- 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

SIN: 

Marital Status:  -Select- Single Common Law Married Other

Residential Phone:   

Email:  

Present Address:  Same As Applicant

How Long Have You Lived at Your Present Address? 
Years    Months 
(If less than 2 Years, Please Fill out Previous Address Information)

Previous Address:  Same As Applicant

How Long Have You Lived at Your Previous Address? 
Years    Months 

Monthly Housing Costs: 
-Type- Rent Own with Mortgage Own Free and Clear Other   Monthly Payment:  
Mortgagee/Bank: 

Other Monthly Obligations:  
-Type- Rental Property Alimony Child Support Other   Monthly Payment: 
-Type- Rental Property Alimony Child Support Other   Monthly Payment: 
-Type- Rental Property Alimony Child Support Other   Monthly Payment: 

Present Employment Details:
-Type- Full Time Part Time Retired Unemployed With Income Unemployed Without Income Seasonal Self-Employed Other   Employer: 
Occupation:   
Work Address:
How Long:  Years    Months 
(If Less than 2 Years, Please Fill Out Prev. Employment Details)
Gross Monthly Income: 
Employer's Contact Name & Number: 
Accountant's Name & Number:

Previous Employment Details:
-Type- Full Time Part Time Retired Unemployed With Income Unemployed Without Income Seasonal Self-Employed Other   Employer: 
Occupation:   
How Long:  Years    Months 
Gross Monthly Income: 
Employer's Contact Name & Number: 
Accountant's Name & Number:

Details on Financed Vehicles:

Year:    Make: 
Model:   
Financed By:   
Balance Owing:    Monthly Payment: 

Year:    Make: 
Model:   
Financed By:   
Balance Owing:    Monthly Payment: 

Year:    Make: 
Model:   
Financed By:   
Balance Owing:    Monthly Payment: 

Contact Information: 

(Please Ensure that this Portion is Filled Out Completely to
Ensure that we can Contact You if there is anything we need clarified
Prior to submitting your application to the Bank!)

Residential Phone #
Applicant:
Co-Applicant:

Work Phone #
Applicant:
Co-Applicant:

Cell Phone #
Applicant:
Co-Applicant:

Email
Applicant:
Co-Applicant:

Note that by supplying us with the above information, you are authorizing Doug's Recreation Center to review your credit for the purpose of buying a vehicle. Providing us with the above information in no way obligates you to purchase anything. By law, we are required to hold the information you've provided us in strict confidence.

Doug's Recreation Center has access to multiple financial institutions. That means we can provide financing you need at a monthly payment that fits your budget.

In submitting this application to Doug's Recreation, I understand that Doug's Recreation will supply the above information to one or more credit bureaus in order to receive information about my credit history. Also, in submitting this credit application I understand that Doug's Recreation Center may provide the above information, and my credit history to one or more financial institutions in order for them to evaluate their willingness to finance a vehicle(s) to me.
Please Check Box before Submitting

Please review your application to make sure all applicable fields are completes. Incomplete applications will cause delays in processing your request. Thank you.