First Name

Last Name

Email

Phone

Mobile Phone

Work Phone

SIN

Date of Birth

Marital Status

Drivers License Number

Drivers License Expiry Date

Home Address

City

Province

Postal Code

Residence Status

Mortgage /Rent Amount (Monthly)

Mortgage Balance Amount

Market Value

How Long at this address?

Address

City

Province

Postal Code

How Long at this address?

Employer Name

Self Employed

  • Yes
  • No

Job Title

Work Phone

Gross Income (Monthly)

Income Frequency

Employment Length

Address

City

Province

Postal Code

Employer Name

Self Employed

  • Yes
  • No

Job Title

Work Phone

Employment Length

Source

Gross Income (Monthly)

Income Frequency

Is there a Co-Applicant?

  • Yes
  • No

First Name

Last Name

Email

Phone

Mobile Phone

Work Phone

SIN

Date of Birth

Marital Status

Drivers License Number

Home Address

City

Province

Postal Code

Residence Status

Mortgage /Rent Amount (Monthly)

Mortgage Balance Amount

Market Value

How Long at this address?

Employer Name

Self Employed

  • Yes
  • No

Job Title

Work Phone

Gross Income (Monthly)

Income Frequency

Employment Length

Previous Bankruptcy

  • Yes
  • No
  • Yes
  • No

Year

Make

Model

VIN

Odometer

Kms

Colour

Lien on Vehicle

  • Yes
  • No

Lien Payoff Amount

Vehicle Title

VOI (Vehicle of interest)

Message

CONSENT TO USE OF PERSONAL INFORMATION


To: Canadian Auto Remarketing (car) Ltd (“Dealer”) #109 - 25 Chisholm Avenue. St Albert, AB. T8N-5A5


1. In this consent:

(a) the words “I”, “me” and “my” refer to the undersigned Applicant and, if applicable, to each of the undersigned Co-Applicants, jointly and severally.

(b) “use” or “using” includes collecting, copying, storing, maintaining, updating, sharing, transferring, disclosing, and providing access to Personal Information (as defined below) in accordance with this Consent.

(c) “Personal Information” means all identifying information about me, and includes, but may not be limited to: my name; address; telephone number; date of birth; social insurance number; driver’s license number; mother’s maiden name; my employment history; income; information related to vehicle insurance policies, including but not limited to coverage and claim information; and information concerning my credit, including, information obtained through a credit reporting agency or credit investigation or from a credit bureau or financial institution or other person or entity, and all information provided by and relating to me in any credit application.

(d) “Transaction” means any credit application, price quote, purchase, lease, financing application, and/or service of any motor vehicle, recreational vehicle, motorcycle, watercraft, or other asset by or for me, whether in my own name or on behalf of another person or entity and/or all ancillary services provided in connection with the transaction.


2. I certify that all information provided by me in any credit application or other documentation given in connection with a Transaction is true, accurate and complete in all respects.


3. I AUTHORIZE AND CONSENT TO THE USE BY YOU OF MY PERSONAL INFORMATION, FOR THE PURPOSE OF INITIATING, PROCESSING OR EXECUTING ANY TRANSACTION REQUESTED BY ME, AND ALL REASONABLE PURPOSES RELATED THERETO, including:

(a) For legal, regulatory, audit, risk assessment, processing and security purposes (including fraud prevention);

(b) For purposes permitted by Canadian law or required by Canadian or applicable foreign law;

(c) To create aggregated and anonymous information that may be used for your business purposes;

(d) To conduct credit and insurance investigations concerning me from time to time in connection with a Transaction;

(e) To exchange my Personal Information with any credit reporting agency, credit bureau, automobile or other asset insurer or aggregator of information for such insurer and/or financier in connection with considering or proceeding with a Transaction;

(f) For the purposes described in Canadian Auto Remarketing (car) Ltd privacy notice as updated from time to time (the “Privacy Notice”). The up-to-date version of the Privacy Notice is accessible at www.canadianautoremarketing.ca I acknowledge that changes to the Privacy Notice may be made from time to time, and that it is my responsibility to review the Privacy Notice periodically in order to remain up-to-date with any such changes.

4. I acknowledge that, by sending an email to info@canadianautoremarketing.ca or by calling 780-569-0654, I may: (1) review and update any Personal Information retained by Canadian Auto Remarketing; and (2) opt out of uses of my Personal Information, provided that I recognize that any such opt-out may prevent completion of the Transaction or of otherwise- provided services.