Name *

First Name

Last Name

Phone *

(###)

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Name *

First Name

Last Name

Phone *

(###)

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APPLICANT *

First Name

Last Name

NAME *

First Name

Last Name

GENDER *

Female

Male

Phone *

(###)

###

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MARITAL STATUS *

Single

Married

Common Law

DATE OF BIRTH *

MM

DD

YYYY

ADDRESS *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

HOME DETAILS *

Own

Rent

Other / Live with Parents

EMPLOYER PHONE NUMBER *

(###)

###

####

EMPLOYER ADDRESS *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

TERMS AND CONDITIONS *

By Clicking Submit on the below form, I consent to the collection, use and disclosure of my personal information as described in this paragraph. I agree that the personal information provided above may be used and disclosed by SF Auto (Sims Automotive Inc) and/or its agents, brokers or service providers (collectively, the Dealer) as necessary to obtain credit, financial and related personal information (including, but not limited to, a credit or consumer information report) about myself from any credit bureau or credit reporting agency, and advise me on credit availability in connection with product and/or service purchase financing. I further agree that the personal information provided above may be disclosed to the provider of SF Auto's website hosting or related services for the purpose of enabling SF Auto to access my personal information for marketing purposes. The Personal information I provide and credit information obtained may also be retained by SF Auto and used to facilitate the application process should I subsequently choose to apply for credit through SF Auto. By signing of this application I acknowledge that the information above is true to the best of my knowledge.

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