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8220 Kennedy Road, Markham, Ontario L3R 9S7   Fax: 905 477-3063

Sales: 800 961-1673 - Service: 800 961-1659 - Parts: 800 961-1658
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Honda Accord Coupe

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Honda Accord Sedan

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Honda Civic Sedan

Honda CR-V

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Honda Element

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Honda Insight

Honda Odyssey

Honda Pilot

Honda Ridgeline

 

CREDIT APPLICATION
Speed up your purchase or your
lease by making an on-line credit check!

This is not an official document. We will
contact you as soon as the process is completed.


*Mandatory fields

I plan to buy
(or lease) a vehicle in:


PERSONAL INFORMATION

*Name:
Date of birth (year/month/day):
Social Insurance Number:
*Driver's licence number:
*Email:
Phone (with area code):
Fax (with area code):
Address:
City:
Province:
Postal Code:
At this address since:

OWNER  (if applicable)

Mortgage Institution:
Phone (with area code):
Account number:

TENANT  (if applicable)

Name of landlord:
Phone (with area code):
Monthly Rent $:

OTHER  (if applicable)

Specify:
Balance $:
House Value $:


PRESENT EMPLOYER

Company or Owner:
How long (years, months):
Position:
Phone at work:
Income $:


PREVIOUS EMPLOYER

Company or Owner:
How long (years,months):
Position:
Phone at work:


2ND PREVIOUS EMPLOYER

Company or Owner:
How long (years,months):
Position:
Phone at work:


OTHER SOURCE OF INCOME

Specify:
Amount $:


ASSETS, OTHER THAN ABOVE (EX: RRSPs, INVESTMENTS, ETC.)

Specify:
Nature:
Value $:


INFORMATION ON THE CAR TO BE FINANCED


Desired vehicle:


Make:


Model:
Year:


Trade-in vehicle:


Make:
Model:
Year:
Millage:
Value:
Balance:


Cash down payment:


Monthly budget:  /month


BANK ACCOUNT INFORMATION

Bank Name:
Address:
Phone (with area code):
Have you ever been bankrupt? No   Yes
Do you have a credit card? No   Yes
If yes, specify the type: Visa   Mastercard   Amex   Other
If yes, specify the number:


OTHER BANK ACCOUNT INFORMATION

Bank Name:
Address:
Phone (with area code):


This hereby authorizes Markham Honda and affiliate companies to obtain a credit report on all the information provided above.

 YES! I want to receive information on future contests, surveys, special promotions and new content from "Markham Honda".

        



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