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COMMERCIAL CREDIT APPLICATION
Equipment Information
Year/ Make/ Model / Description
*
Vendor Name
*
Vendor Province
New or Used
*
Lease Term
*
Purchase Price (Pre-Tax)
*
Down Payment
*
Amount to be Financed
*
Corporate Information
Legal Business Name
*
Operating Name
*
Company Website
Legal & Physical Street Address
*
City
*
Province
*
Postal Code
*
Telephone
*
Fax
Email Address
*
Incorporation Date
*
# of Employees
*
Contact Name
*
Years of Industry Experience
Business Type
*
Corporation
Partnership
Proprietorship
Other...
If "Other", please specify
Description of Business
Owners Personal Information (If Less Than 3 Years In Business / Proprietorship)
Owner / Proprietors Name (Full Legal Name)
Date of Birth (MM/DD/YYYY)
S.I.N.
Full Address (If different then above)
Position and Percentage of Ownership of Company
Personal Residence Status
Rent
Own
Other...
If "Other", please specify
Additional Personal and Commercial Documentation
Additional information can assist our team with better serving you with faster response times.
Additional Information / Comments
Personal Net Worth Statement
Assets
Value
Liabilities
Monthly
Balance Owing
Residence
Mortgage
Other Real Estate
Cash on Hand
Loans
Personal Vehicles
Investments & RRSP's
Credit Cards
Total Assets
Total Liabilities
(Total Assets - Total Liabilities) NET WORTH =
Consent to Collection, Use and Disclosure of Personal Information and Accuracy
The undersigned certifies the above information to be true and correct. By signing below, I consent and authorize eLease Financial Corporation and its representatives and affiliates, to obtain, verify, use, communicate with, receive from, and disclose to third parties relevant to credit analysis and lease administration (including but not limited to credit reporting agencies, credit exchanges, leasing brokers and credit grantors) any of my credit, financial and personal information that eLease Financial Corporation deems necessary to consider, complete, service or enforce any lease, ancillary deed or transaction, including but not limited to assignments and securitizations. If eLease Financial Corporation declines this application, it may periodically review it at any time to reconsider its decision or to offer me other products or services. I understand and consent to this application being held on file by eLease Financial Corporation for the above purposes, as well as for statistical analysis. If I wish a copy of the official privacy policy, I may request same from eLease Financial Corporation.
SIGNATURE: _________________
*
I agree
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