Canadian Applications

Financial Application Form

PERSONAL INFORMATION

BANK INFORMATION

FINANCE COMPANIES & TRADE REFERENCES

CORPORATION OR PARTNERSHIP INFORMATION

EXPERIENCE

PRESENT EMPLOYER

PREVIOUS EMPLOYER

TRANSACTION DETAILS

EQUIPMENT DESCRIPTION

PERSONAL NET WORTH

ASSETS

LIABILITIES

Section

You confirm that the information you have given us in respect of this application is true and complete, and you authorize us to rely on and use this information in order to confirm your identity and evaluate your credit worthiness in relation to the financing contract being entered into. In particular, you agree that we, our affiliates and any third parties acting for us or on our behalf (Hereinafter collectively \”us\”, \”we\” or \”our\”), may obtain a credit report or other credit information from any credit reporting agency, credit bureau or credit grantor, and may hold, use, exchange and disclose such information for the purposes identified above. If your application is approved, you authorize us to collect, hold, use, exchange and disclose your personal information, as required, in order to administer your contract, determine your insurance eligibility, and secure the assets being financed, or as required or permitted by law. You also authorize us to use your personal information for internal statistical analysis purposes. We will keep a file containing some or all of your personal information at 5547 Carman Road, Iroquois Ontario, from time to time. You have a general right to access and rectify the personal information in this file by making a written request to the above address, attention: privacy office.

Verification

reCAPTCHA is required.

Back to top