Credit Application Form

    Applicant Personal Information

    Full Name*

    Date of Birth*

    SIN*

    Phone*

    Email*

    Street*

    Apartment/House*

    City*

    Province*

    Postal Code*

    Do you Rent or Own your Residence?

    Time at Current Residence (years) ?

    Previous Residence

    Previous Residence

    City

    Province

    Postal Code

    Co-Signer Information

    Full Name

    Date of Birth

    SIN

    Address

    Relative Information

    Full Name

    Relation

    Contact Information

    Address

    General Corporation Information

    Legal Business Name*

    Contact Information*

    Work Phone*

    Years in Business* ?

    Street Address*

    City*

    Province*

    Postal Code*

    % of Ownership*

    Type of Business*

    CorporationPartnershipProprietorshipOther

    Financing and Lending Information

    Name of the bank*

    Branch*

    Phone*

    Number of dealings*

    Any prior Repossessions* ?

    Any legal Suits* ?

    Any Bankruptcy*

    Personal Net Worth

    Assets Value
    Residence*
    		 $
    Other Real Estate(s)*
    		 $
    Personal Cash/Savings*
    		 $
    Personal Vehicle(s)*
    		 $
    Investments/RRSP/TFSA/Gold*
    		 $
    Total Assets*
    		 $
    Liability Value Monthly
    Mortgage*
    		 $ $
    Additional Mortgage/LOC*
    		 $ $
    Credit Cards (debts)*
    		 $ $
    Leased/Financed Vehicle(s) Auto Loan*
    		 $ $
    Total Liabilities*
    		 $ $
    Net Worth (Total Assets - Total Liabilities)*
    		 $

    Documents required to support this application

    Corporation Registration Papers*

    Last 3 months bank statements*

    T2/Corporation tax return NOA*

    Personal tax return NOA*

    Driver's Licence*

    PR Card / Passport*

    Total Driving Experience (years)

    Driving History as Company Driver

    Current Employer*

    Years*

    Previous Employer*

    Years*

    Driving History as Owner Operator

    Current Company*

    Years*

    Previous Company*

    Years*

    Equipment Information and Proposal

    Equipment Cost*

    Down Payment*

    Term for Lease/finance (years)*

    Authorized Signatory*

    Date*

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