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Consumer Credit Application
DEALER
TO
COMPLETE
New/Demo   
Lease   
Graduate Program   
Individual   
Used   
Conditional Sale   
Future Value Purchase Program   
Both to sign   
Dealer Number
Dealer Name
Year
Make
Model Code
Please Print
Applicant
Mr.   
Ms.   
Last Name
First Name
Middle Name
Applicant S.I.N (Optional)
Date of Birth
MM DD YY
Current Address
Number and Street
Apt. Number
City
Province/Territory
Postal Code
Home Phone Number
Length
Yrs. Mths
Previous Address (if less than 3 years at Current Address)
Number of Years
Current Employer Name and Address
Business Phone Number
Trade/Occupation
Length
Yrs. Mths
Previous Address (if less than 3 years at Current Employer)
Trade/Occupation
Number of years
Co-Applicant
Mr.   
Ms.   
Last Name
First Name
Middle Name
Applicant S.I.N (Optional)
Date of Birth
MM DD YY
Current Address
Number and Street
Apt. Number
City
Province/Territory
Postal Code
Home Phone Number
Length
Yrs. Mths
Previous Address (if less than 3 years at Current Address)
Number of Years
Current Employer Name and Address
Business Phone Number
Trade/Occupation
Length
Yrs. Mths
Previous Employer Name and Address (if less than 3 years at Current Employer)
Trade/Occupation
Number of years
Email Address
Applicant   
Co-applicant   
Cellular Phone Number
Applicant   
Co-Applicant   
Applicant Gross Montly Salary
$
Co-Applicant Gross Monthly Salary
$
Other Income
$
Describe Other Income
Total Income
$
Financial Institution
Name
Address
Phone Number
Account Number
Savings   
Chequing   
Landlord/Mortgage Holder
Own   
Rent   
Name
Address
Phone Number
Monthly Rent Pmt.
$
Montly Mortgage Pmt
$
Relative Not Living With Applicant
Name
Address
Relationship to Applicant
Home Phone Number
Personal Reference Not Living With Applicant
Name
Address
Home Phone Number
Principal Driver's Name
Driver's Licence Number
Applicant Identity verification is required. Choose one preferred method:
Photocopy of driver’s licence and one other piece of identification
Complete Identification and Verification Form
Upload copy of driver's licence

Upload one other piece of identification
Applicant initial
Co-Applicant Identity verification is required. Choose one preferred method:
Photocopy of driver’s licence and one other piece of identification
Complete Identification and Verification Form
Upload copy of driver's licence

Upload one other piece of identification
Co-Applicant initial

You agree to the Personal Information Consent (below). You represent and warrant that all information provided in this application is true, correct and complete. It is the express wish of the parties that this form and any related documents be drawn up and executed in English. Les parties ont expressément exigé que le présent formulaire et tous les documents s’y rattachant soient rédigés en anglais.

Applicant Signature
Co-Applicant Signature

PERSONAL INFORMATION CONSENT: The applicant/co-applicant consents to the collection of the information provided in this credit application, or subsequently collected from or disclosed to credit/consumer reporting agencies, financial institutions, employer, landlord and personal references for the purposes of processing and, if approved, administering any finance or lease agreement. Honda Canada Finance Inc., its affiliates and service providers (collectively “HCFI”) and the Dealer will restrict the use of the principal driver’s licence number to (a) obtain from the applicable Ministry of Transportation confirmation of the vehicle’s registration, (b) to confirm that the driver has a valid driver’s licence, (c) to verify the identity of the driver in conformity with HCFI’s and the Dealer’s regulatory and contractual obligations, and (d) to enforce HCFI’s legal rights, including with respect to debt collection. Credit information will be shared among the Dealer and HCFI, consumer reporting agencies and other credit grantors as part of the application process and performance of any finance or lease agreement. HCFI’s and the Dealer’s files containing your personal information will only be accessible to authorized employees, representatives and agents of HCFI and the Dealer whose duties, functions or mandate require access to your personal information. You have the right to request access to, or correction of your personal information you may contact HCFI Customer Service 1-866-899-4440 or address your request in writing to 180 Honda Boulevard, Markham, Ontario, L6C 0H9 or to 1750, Eiffel Street, Boucherville, Quebec, J4B 7W1. This consent does not vitiate or affect any other consents you may have previously given to HCFI, its affiliates or dealers or provide to them in the future including consent provided should a finance or lease agreement be entered into with HCFI. In some cases, personal information may be disclosed, processed and stored outside Canada, and therefore may be available to government authorities under lawful orders and laws applicable there. Your consent will be valid so long as required to fulfill the purposes set out in this application and for as long as any amount remains outstanding in connection with the finance or lease agreement. For more information, see http://www.honda.ca/lease-and-finance/privacy.

HCFI relies upon credit/consumer reports from Equifax Canada and/or Transunion Canada. You have the right to request that this (these) agencies disclose your account history to you and to request that this (these) credit reporting agency (ies) correct any information that is inaccurate in your credit bureau file. Equifax Canada can be reached at: North American Centre, 5700 Yonge St, North York, ON M2M 4G8, (416) 227-8500 or 7100 Rue Jean- Talon E #801, Anjou, QC H1M 0A3 (514) 493-2470. Transunion Canada can be reached at P.O. Box 338, LCD1 Hamilton, ON L8L 7W2, 1-800-663- 9980 or CP 1433 Succ. St-Martin, Laval, QC H7V 3P7 1-877-713-3393.


Identification and Verification Form
Buyer/Lessee Identification Information
First Name
Middle Name(s)
Last Name
Address
City
Province
Postal Code
Type of Identification
Place of Issue
(if applicable)
Expiry Date
(if applicable)
Date of Birth (DD/MM/YYYY)
(as indicated on identification document)
Buyer/Lessee Identification Information
First Name
Middle Name(s)
Last Name
Address
City
Province
Postal Code
Type of Identification
Place of Issue
(if applicable)
Expiry Date
(if applicable)
Date of Birth (DD/MM/YYYY)
(as indicated on identification document)

Co-Buyer/Co-Lessee Identification Information (if applicable)
First Name
Middle Name(s)
Last Name
Address
City
Province
Postal Code
Type of Identification
Place of Issue
(if applicable)
Expiry Date
(if applicable)
Date of Birth (DD/MM/YYYY)
(as indicated on identification document)
Co-Buyer/Co-Lessee Identification Information (if applicable)
First Name
Middle Name(s)
Last Name
Address
City
Province
Postal Code
Type of Identification
Place of Issue
(if applicable)
Expiry Date
(if applicable)
Date of Birth (DD/MM/YYYY)
(as indicated on identification document)