Credit Application

1. Vehicle you are purchasing *

1. Have you ever filed for bankruptcy? * YesNo
2. Have you ever had a vehicle repossessed? * YesNo
3. Have you ever obtained credit under a different name? * YesNo

1. Additional comments

* Required

1. I/We certify all the information in this application is true and complete. I/We acknowledge the personal information gathered may be used by Lee's Fine Cars & Lee's Service Centre, its funders, agents and assigns, to assess my credit worthiness, provide products, administer the contract and perform services as requested by me. Lee's Fine Cars & Lee's Service Centre may disclose this information to third parties such as but not limited to credit reporting agencies, financial institutions, finance companies, and my insurance agent or company. Lee's Fine Cars & Lee's Service Centre may also disclose this information where required bylaw. You can withdraw this consent at any time by contacting Lee's Fine Cars & Lee's Service Centre and understand this may be cause for declining your credit application. By signing below, I/We consent to these uses and disclosures and my submission is an acceptance to authorize the obtaining and release of information as it pertains to processing this credit application. Providing a Social Insurance Number("SIN") is not mandatory. If we are unable to confirm your identity for the purpose of assessing your creditworthiness, we may request it. If declined, this may be cause for declining your Credit Application. You certify you have requested all correspondence and Loan documentation in English.

1. I have read and agreed to the terms and conditions above.