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ARL Application
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ARL Application
Vehicle Owner Application
Step 1 of 3 - Vehicle Owner Info
First Name*
Middle Name
Last Name*
Address*
City & province*
Postal Code*
Are you over 19?*
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Yes
No
Is the vehicle free of all financial obligations?*
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Yes
No
If No: Why?
Are you the sole owner?*
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Yes
No
If No: Name of other?
How much cash do you require?*
Repair or Customization needed?
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Step 2 of 3 - Vehicle Owner Info
Insurance No
Plate
Vin*
Make*
Model*
Trim*
Year*
Color*
Odometer*
Transmission*
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Yes
No
Do you have a spare key?
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Yes
No
Any external damage in excess of $2000 or has a rebuilt engine?*
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Yes
No
Any current damages on the vehicle?*
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Yes
No
Overall condition of the vehicle?
Very Good
Good
Fair
Poor
Is there collision insurance coverage on the vehicle?*
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Yes
No
How much is the collision deductible?
Insurance expiry Date:*
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Next
Step 3 of 3 - Vehicle Owner Info
Driver license No.*
Province
Expiry Date*
Date of Birth
Home Phone
Email*
Cell*
Work Phone
Employer
Marital Status
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Married
Unmarried
Job Title
Address of Employer
Spouse/Partner's Name
Spouse/Partner's Address if different from yours
Phone
SELL YOUR VEHICLE
If you are a mechanic you can call us directly at:
xxx-xxx-xxx
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Auto Repair Loans Application
Any Accidents or Insurance claims:
Yes
No
By submitting this application you agree to the Terms & Conditions of ARL Canada and its affiliates and consent to be contacted via phone, text or email.
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