Credit application

Apply for auto financing

Fill out the form below — it takes a few minutes. Submitting does not guarantee approval. Your information is used only as described in our Privacy Policy.

Applicant Type

Applicant Co-Applicant

Applicant Information

SalutationFirst Name*Middle NameLast Name*SuffixGenderMarital StatusSINPhone*Email*Date of Birth

Current Address

Postal CodeAddress NoStreet NameStreet TypeDirectionSuite NoAddress TypeCityProvinceYears at addressMonths at address

Home / Mortgage Details

HomeMortgage Amount ($)Monthly Payment ($)Market Value ($)Mortgage Holder

Current Employment

TypeStatusEmployerOccupationYears employedMonths employedEmployer Address NoEmployer Street NameEmployer Suite NoEmployer CityEmployer ProvinceEmployer Postal CodeEmployer Telephone

Income Details

Gross Income ($)PerOther Income TypeOther Income ($)Other Income Per"Other" Description

Annual Total: $0

Driver's License

Upload a clear photo of the front of your driver's license. This helps us verify your identity and move your application forward faster.

Click to upload a photoJPG or PNG

Consent & Signature

By signing below, 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 AutoBase and/or its agents or service providers (collectively, the "Dealer") as necessary to obtain credit, financial and related personal information (including a credit or consumer information report) about me from any credit bureau or credit reporting agency, and to 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 Dealer's website hosting or related services for the purpose of enabling Dealer to access my personal information for marketing purposes. Personal information I provide and credit information obtained may also be retained by Dealer and used to facilitate the application process should I subsequently choose to apply for credit through Dealer.

I have read and agree to the above consent, and confirm the information provided is accurate.

Applicant Signature (type your full name)*Date