Personal Details
Title		Please Choose Mr. Mrs. Ms. Dr.
First Name
Middle Initial
Last Name
Home Address 1
Home Address 2
City
Province
Postal Code
Home Phone Number
Cell Phone Number
SIN # (optional)
Date of Birth
Marital Status		Please Choose Single Married Divorced
Residence Status		Please Choose Own Rent Live With Parents Other
Length Spent at Address		Years Months
Amount of Rent or Mortgage
Previous address if less than two years
Home Address 1
Home Address 2
City
Province
Postal Code
Employment History
Current Employer
How Long
Position
Phone Number
Contact Name of HR Person
Gross Monthly Income
Previous Employer if less than 2 years
Other Income Source...
Gross Other Monthly Income
Vehicle
Vehicle Interested In
Disclaimer
I/we certify the above information to be true and accurate.  By signing below, I/we authorize elite auto wholesalers to obtain all credit information from any credit reporting agency, bank, or creditor/trade account as elite auto wholesalers may require at any time in connection with the credit hereby applied for.  I/we further authorize this application to be used as my consent and instruction in writin to my/our employer(s) to release any information as such may be required to process and consider this application.  I/we cosent to the disclosure at any time of any information concerning the undersigned to any credit reporting agency or credit grantor with whom the undersigned has a financial relationship.  I / we confirm that I/we are the authorized person(s) for this transaction.
Signature - Please Type Name