PRE-APPROVED CREDIT APPLICATION


Apply for pre-approved credit from one of the 10 financial institutions with whom we do business.  Simply complete and submit this form.  If desired, you may fax it to: 403.328.0262

* Indicates a required field.
Full Legal Name: *
Social Insurance #:
BirthDate: -- mm/dd/yy
Address:
City:
Province:
Postal Code:
Primary Phone: *
Home Phone:
Business Phone # (Including area code)
Own? Yes No
Rent? Yes No
Mortgage/Rent payment:
Number of years at current home address:
Previous address if less than two years:
E-mail:
Employer or company name:
Time employed:
Occupation:
Total Annual income:
Which bank do you normally deal with?
Branch no.:
Bank account #:
Type of account:
Do you plan to: Lease
Buy
Not Sure Yet
Do you plan to trade-in a vehicle? Yes
No
Not sure yet
Do you plan to put any additional money down? Yes
No
Not sure yet
If yes to above, how much money?
Which vehicle model are you interested in?
Fax Number:

"By submitting this credit approval form, I certify that the information in my application is complete and true.  I authorize UlmerAutoGroup to submit this application to various financial institutions, and authorize those institutions to investigate my credit and employment history, obtain credit reports or personal investigations and release information about their credit experience with me.  I also authorize UlmerAutoGroup, their affiliates and marketing associates to use information about me, including information in my application, for marketing and administrative purposes."
 
X_____________________________                               Applicant Signature                                  __________________________
Date
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