Welcome to D.A. Auto Sales!

Credit Application

If you're ready to buy a vehicle from D.A. Auto Sales, you can shorten the vehicle delivery process by supplying us with the information listed below. We can then pre-approve your loan.
* Required Fields
Personal Information
*First Name
Middle Name
*Last Name
*Date of Birth
Social Insurance Number
Co-Signer First Name
Middle Name
Last Name
Date of Birth
Social Insurance Number
# of Dependants
* Home Telephone Number
* Email Address
Martial Status (Married, Single)
*Present Address (No., Street)
Apt. No.
*Town/City
*Province
*Postal Code
*How Long at Present Address
Own or Rent
Monthly Payments
Previous Address (if less than 2 years at present address)
How Long (Years)
Employment Information
Employer Name
Telephone Number
Occupation/Position
How Long (Years)
Gross Monthly Income
Co-Signer Employer Name
Telephone Number
Occupation/Position
How Long (Years)
Gross Monthly Income
Other Income Source(s) (please specify)
Telephone Number
Occupation/Position
How Long (Years)
Gross Monthly Income
Vehicle Information
Year
2009
Make
Nissan
Model
Rogue
Mileage (KM)
281791
Name on Drivers License
*Driver License Number
Place of Issue
License Expiry Date
Your Credit
Have you declared bankruptcy in the last 7 years? YES NO
Have you had a vehicle repossessed YES NO
Rate your credit Excellent Credit Issues
Privacy Policy
In connection with your possible transaction, D.A. Auto Sales may obtain information about you as described in this notice, which we will handle as stated in this notice.

We collect nonpublic personal information about you from the following sources:
  1. Information we receive from you on applications or other forms;
  2. Information about your transactions with us; and
  3. Information we receive from a consumer reporting agency (credit bureau)
We do not disclose, nor do we reserve the right to disclose, any nonpublic personal information about our consumers, customers or former customers to anyone, except as permitted by law. We may disclose nonpublic personal information about you, as a consumer, customer or former customer, to non-affiliated third parties as permitted by law.

We restrict access to nonpublic personal information about you to those employees who need to know that information to provide products or services to you. We maintain physical, electronic, and procedural safeguards that comply with federal regulations to guard your nonpublic personal information.
*Privacy Policy Acceptance
I have read and accepted the D.A. Auto Sales Privacy Policy regarding the Credit Application