Credit application for cash advance on vehicle purchase from Trout Creek Auto Sales in Summerland .
| Name: |
| Current Address: |
| Previous Address (if less than 1 years at current): |
| Phone Number: |
| E-Mail : |
| Driver's Licence Number: |
| Social Insurance Number: |
| Banking Institution: |
| Current Employer: |
| Address Phone Number: |
| Previous Employer (if less than 1 years at current): |
| Reference #1 Landlord |
| Name: |
| Address: Phone number: |
| Reference # 2 Family member |
| Name: |
| Address: Phone number : |
| Reference # 3 |
| Name: |
| Address: Phone number : |
| Signature | Date FAX TO: 250 494 7765 |