Credit Application

Whether you have good credit, bad credit, new credit or no credit, everyone is approved. Complete our easy, secure online application. A finance Specialist from Mirage Automotive will contact you promptly.

Personal

Salutation

First Name

Last Name

Phone

xxx-xxx-xxxx

name@example.com

Marital Status

Birth Date

Current Address

Postal Code

Home

Street Address

City

Province

Duration: Years Months

Rent

Monthly Rent Payment

Name of Landlord

Mortgage

Monthly Mortgage Payment

Name of Mortgage Holder

Home Market Value

Remaining Mortgage Amount

Previous Address

Street Address

City

Province

Postal Code

Duration: Years Months

Employment

Employment Type

Social Insurance Number

Occupation

Present Employer

Phone

Employer Address

City

Province

Postal Code

Gross Income

Duration: Years Months

Previous Employment

Previous Employer

Duration: Years Months

Credit History

Have you declared bankruptcy within the past 7 years?

Have you ever had a vehicle repossessed?

If necessary, do you have a co-signer for your financing?

Please rate your credit

Finance Variables

Down payment amount

Plan to purchase / lease a vehicle within

Trade In

Have trade-in vehicle?

Year

Make

Model

Mileage (in KM)

Vehicle Description

Desired Vehicle

Desired Vehicle Make

Desired Vehicle Model

Desired Vehicle Year

Desired Vehicle Vin

Cosigner Information

Co-applicant Name

Co-applicant Address

Co-applicant City

Co-applicant Province

Co-applicant Phone

Co-applicant Present Employer

Co-applicant Occupation

Co-applicant Birth Date

Co-applicant Gross Monthly Income

I certify that each of the statements made and answers given in this credit application are true and correct and is made for the purpose of inducing the financing of the purchase of a motor vehicle. I authorize the obtaining of a consumer report to be used in evaluating this application and the obtaining and exchanging of credit information from and with other creditors and consumer reporting agencies.

To review our Privacy Policy, go to Privacy.

Online Credit Application

Need help filling out your application? One of our helpful sales associates would be happy to go through this with you.

Request an appointment

Monday	9am - 7pm
Tuesday	9am - 7pm
Wednesday	9am - 7pm
Thursday	9am - 7pm
Friday	9am - 6pm
Saturday	10am - 5pm
Sunday	Closed