Credit Application — Galleria Motors

Secure Online Application

Apply for Financing

Complete the form below and our finance team will reach out with your options. All credit situations are welcome. Fields marked * are required.

Personal Information

Full Name *

Date of Birth

Email *

Phone *

Marital Status

Social Insurance Number (optional)

Providing your SIN is optional and can speed up your approval. It is encrypted and only visible to our finance staff.

Residence

Street Address

City

Province

Postal Code

Rent or Own?

Monthly Payment ($)

Time at Residence (years)

I have lived at this address for less than 2 years

Employment & Income

Employer

Job Title

Employment Type

Years at Employer

Annual Income ($)

I have been at this job for less than 2 years

Other Income (optional)

Source

Annual Amount ($)

Co-Applicant Add a co-applicant

Trade-In Vehicle I have a trade-in

Vehicle of Interest

Vehicle

Down Payment ($)

Additional Comments

I authorize Galleria Motors and its lending partners to obtain my credit report and verify the information provided for the purpose of evaluating my financing application. *