Buyer's Last Name*

Buyer's First Name*

Relationship to Buyer*

Merchant*

Sales person*

Delivery Date

*FOR OFFICE USE ONLY

Last Name*

First Name*

Middle

Birth Date*

SIN #

Gender* Male Female

Marital Status Single Married Common-Law Divorced

Home Phone

Cell Phone

Current Address

City

Province

Postal Code

How Long? (years)

Months

** If PO Box/ RR address, please provide legal land **

Drivers License #

Province Issued

Expiry Date

**If less then 2 years at current address, please provide previous address.**

Previous Address

City

Province

Postal Code

How Long? (years)

Months

** If PO Box/ RR address, please provide legal land **

Alternate Contact

Last Name

First Name

Phone Number

*The individual will not be contacted unless Lender is unable to contact Buyer*

Name of Bank

Account(s):

Chequing Savings

Credit Card(s):

Visa Other MasterCard None

Previous Bankruptcy?

Yes No

Date Discharged: Year

Month

Own

Mortgage Holder

Market Value $

Mortgage Principal Balance $

Monthly Payment $

Rent

Landlord/Rental property name

Monthly Payment $

Please enter gross income as per last year's personal notice of assessment if self employed

Company

Position

How Long? (years)

Months

Address

City

Province

Postal Code

Phone #

Self Employed* Yes No

Gross Monthly Income $

** If employment is less than 2 years, please provide previous employment information. **

Previous Employer

Position

How Long (years)

Months

Address

City

Province

Postal Code

Phone #

Self Employed Yes No

Gross Monthly Income $

The undersigned is applying for credit and verifies that all credit and other information provided to Lifestyles Financial Services Ltd. (LFS) will be true and accurate. LFS and any other bank or finance company involved in this transaction is authorized to conduct a credit investigation on the undersigned and to exchange credit and other information with any credit bureau or reporting agency and any person with whom the undersigned has purposes to have financial dealings.

Buyer, please type the date and your name below, then click "I Agree"

Date* mm/dd/yy

Buyer's Name*

Purchase Type* Auto Motorcycle Snowmobile ATV Personal Watercraft Boat Side X Side RV Hot Tub Retail

Trailer Information:

Type

Year

Make

Model

Boat Motor
Information:

Type

CC/HP

Year

Trade-In Information

Contact Lifestyles Financial Services Ltd

Box 5038 Spruce Grove Alberta T7X 3A8 Toll free: 1-866-967-4760 • Fax toll free: 1-866-967-2781 Email: credit@lfservices.ca

Credit App