Legacy Autos
Salutation —Please choose an option—Mr.Ms.Mrs.Mx.Dr.
First Name *
Last Name *
Marital Status * —Please choose an option—SingleMarriedCommon-lawSeparatedDivorcedWidowed
Gender * —Please choose an option—MaleFemalePrefer not to sayOther
Phone *
Birth Date *
Email *
SIN*
Address * City * Province * —Please choose an option—ABBCMBNBNLNSNTNUONPEQCSKYT
Postal code * Duration year * Duration Month *
Home Status * —Please choose an option—RentOwnLive with FamilyOther Monthly payment *
Type * —Please choose an option—Full-timePart-timeContractSeasonalSelf-employedUnemployedStudentRetired
Province * —Please choose an option—ABBCMBNBNLNSNTNUONPEQCSKYT
Employer *
Employment Address *
Postal Code *
Occupation *
City *
Duration Month *
Gross Income *
Duration Year *
Previous Employer
Phone
Duration Year
Duration Month
Previous Bankruptcy? —Please choose an option—NoYes
Previous Repossession? —Please choose an option—NoYes
Is Co-signer Available? —Please choose an option—NoYes
Please rate your credit —Please choose an option—Excellent (750+)Good (700-749)Fair (650-699)Poor (<650)Unsure
Make
Model
Year
Kilometer
Comment
Select Vehicle from Inventory —Please choose an option—Any
Upload Photo ID (Driver’s License or Passport) *
Upload Void Cheque or Direct Deposit Form *
By submitting this application, you authorize us to run your credit report.
I authorize Legacy Autos to obtain and review my credit report for financing purposes.
