Credit Application - AutoCity - Quality Pre-Owned Vehicles

40 Main Street, Fredericton, NB, E3A 1B8 | Telephone: (506) 457-1798

Please feel free to complete this simple online application to apply for your new vehicle.

Applicant Information

First Name

Last Name

Birth Date

SIN

Phone

Cell

Residential Information

Street Address

City

Province

Postal Code

Resident Type

Employment Information

Employer Name

Duration of Employment

Occupation

Supervisor

Supervisor Phone Number

Monthly Gross Income

Other Information

Are you able to put money down?

Yes
No

If yes, how much?

Have you ever filed for bankrupcy?

Yes
No

If yes, when?

Have you been discharged yet?

Yes
No

If yes, when?

What is your trustee's name?

Trustee's phone number

What type of vehicle are you looking for?

How much can you afford to pay a month for a vehicle payment?

Consent of Application

I hereby give my consent to have my credit report secured from any credit reporting agency which you designate.

Agree
Disagree

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Address:

40 Main Street
Fredericton, NB
E3A-1B8
Tel: (506) 457-1798

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