This document is a consumer credit application that collects personal and financial information from an applicant. It requests information such as name, social insurance number, address, contact details, employment details including income and length of employment, bank account details, credit history, existing debts and debt ratios. It also includes optional protections that can be purchased, such as credit life protection that pays off the loan if the applicant passes away, sickness and injury protection that makes payments if the applicant cannot work due to illness or injury, critical illness protection that pays the loan if the applicant suffers certain critical illnesses, and loss of employment protection that makes payments if the applicant loses their job involuntarily. The applicant signs to authorize the use of their information to evaluate creditworthiness

1. Consumer Credit Application
Client Mr./Mrs./Ms/Dr. Financial Institiution Status married/single/divorced
S.I.N. (optional) Drivers License DOB
Street Address: City: Current Employer:
Insured Employer Address:
Yes No
Province: Postal Code:
Years at Current Address: Own/Buying/Rent Payment: Years at Current Employer:
Home Phone Number: Mortgage Balance/Holder: Employer Phone Number:
Home Value: Income (weekly/bi-weekly/monthly):
Previous Address: City: Other income:
How long have you lived at this address? Full Time / Part Time:
Province: Postal Code: Position: Employment Benefits
Previous Employer:
Banking Institution: In the past 7 years have you declared bankruptcy? In the past 7 years have you been off work due to
any kind of sickness, injury or job loss?
Yes No
Cheq/Savings/Both Balance: Yes No
Visa/MC/AMEX In the past 7 years have you had an asset Total Debt Service Ratio (TDSR)
repossessed? Income:
Personal Line: Insured Subtract Monthly Payments:
Yes No Yes No Multiply by 40%
Insurance Policies: Affordable Monthly Payment:
Signature Date
By signing the above Consumer Credit Application, you (the Applicant and each additional Co-Applicant) confirm that the information given above is true and correct and you understand that it is being used to determine your credit responsibility and to evaluate
and respond to your request for vehicle financing. The dealership and/or the financial institution is authorized to obtain any information required for these purposes from other sources (including, for example, credit bureau) and each source is hereby authorized to
provide the dealership or financial institution with such information. You also understand, acknowledge and agree that the information given in the application form as well as other information obtained in relation to your credit history may be disclosed to potential
lenders, other service providers, organizations providing technological or other support services required in relation to this application and any other parties with whom you propose to have a financial relationship.
FORM 7007 (NOV /2011)

2. BEN E F I T S O F P R O TE C T ION
• Pays off the balance of your vehicle • Makes your vehicle loan payment for you
loan obligation in the event of death. if you are unable to work at your job.
• Leaves your estate with the asset of the • Confinement to your home or
vehicle vs. the liability of the debt. hospitalization not necessary.
CREDIT LIFE SICKNESS
PROTECTION • Maintains the value of all your other
AND INJURY • Benefits will continue until you can
insurance policies. return to your job.
• It’s Affordable Peace of Mind. • Pays in addition to any workplace or
private plans.
• Pays off the balance of your vehicle • Makes your vehicle loan payment if you
loan in the event of: involuntarily lose your job.
»» Heart Attack »» Stroke
• Can claim more than once.
»» Malignant »» Paralysis
CRITICAL Cancer »» Bypass LOSS OF • Accidental injury coverage is also
ILLNESS »» Organ Surgery EMPLOYMENT included.
Transplant • Protects your credit.
• Most people survive their Critical • Everyone aged 18-65 is eligible for the
Illness. With your vehicle loan paid off, Loss of Employment Coverage.
any additional insurance benefits can
be directed to where you need it most.
This reference sheet is not a contract and the contents are limited by its size.
Please see your Certificate of Insurance for the specific terms, conditions, limitations and exclusions that apply to your coverage.
Form 7020 (JUL/2012) Photos courtesy of Microsoft