Request for financing

Secured Credit Application

Speed up your purchase by applying for credit online! This is not an official request. We will contact you shortly to complete the process if necessary. If you need assistance with completing your application, do not hesitate to contact us at 1.844.VRSTCYR (877.8297) extension 229.

Personal information

*These fields are required Note that the social insurance number is not mandatory but speeds up the process.

Last name*
Date of birth* (day / month / year)
Email*
Address*
Province*
At this address since* (month / year)

First name*
Social Insurance Number
Phone*
City*
Postal Codel*


Information about your credit

Have you declared bankruptcy, a consumer proposal or a voluntary surrender? *
If yes, when were you released?

If you are an owner

Market value of your home
Balance on your hypothec
Payment per month
Creditor

If you are a lodger

Payment per month:


Current employer

Name of the company
Address
Phone
Date of employment (day / month / year)

Type of work*

Position occupied
Gross annual salary*


Assets

Investments
REER

Other

Passive

Car loan (Amount per month)
Personal loan (Amount per month)
Credit card(s) (Balance)
Other


Additional information

When do you plan to buy your RV?
What is your monthly budget for buying your RV?

Type of RV Wanted


Add other sources of earnings

Specify
Specify

Amount
Amount


Add a co-applicant

Last Name
Date of birth (day / month / year)

First Name
Social Insurance Number


Optimize your credit application

To better understand your situation, please provide us with details about your current situation

I authorize VR St-Cyr to open a credit report an /or send my credit application based on the information specified above. I understand that any false statement will result in the categorical refusal of my request.

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