Apply Now Have Questions? Call Us LESSEE Legal Business Name * Contact * Phone No. * Operating Name (if applicable) E-mail * Business Street Address City * Province * Postal Code Type of Business * Years In Business Current Ownership * APPLICATION TYPE * Sole Proprietorship Partnership Corporation PRINCIPALS (Owners, partners, and principal officers): Name * Date of Birth (mnth/day/yr) * MM DD YYYY SIN No. % of Ownership Home Phone No. * Home Address * City * Province * Postal Code * E-mail Address Home Ownership * OWN RENT Home Value: Mortg. Balance: Monthly Payment: PRINCIPALS (Owners, partners, and principal officers) Name Date of Birth (mnth/day/yr) MM DD YYYY SIN No. % of Ownership Home Phone No. Home Address City Province Postal Code E-mail Address Home Ownership OWN RENT Home Value: Mortg. Balance: Monthly Payment: SUPPLIER Dealer Name Contact Phone No. Address/City/Prov/Postal Code E-mail Address EQUIPMENT DETAILS Equipment Description Equipment Amount $ KEY TERMS Preferred Lease Term (Cash Down) 24 Months 36 Months 48 Months 60 Months Read & Agree: The undersigned attests that information above is true and complete by signing below. I confirm/we confirm that Affiliated Financial Services Inc. and its affiliates and (or) third party providers and (or) any financial institution chosen (collectively referred to as “ AFS”) can collect, use and rely on such commercial and/or personal information to confirm my identity, evaluate my credit worthiness and the risks in relation to the financing being requested and to comply with its legal and regulatory obligations. The undersigned allow AFS to get from any credit agency or lending company commercial information and/or personal information which could be required with respect to this credit application, including a credit bureau. I/we confirm also that AFS may disclose commercial and/or personal information related to the undersigned to any credit agency or lending company with which it maintains financial relationship. The undersigned recognizes that AFS will keep a file containing some or all of my personal information, whether or not the requested credit is granted. The undersigned understands that he has a general right to access and rectify the personal information in this file by making a written request to AFS. * I Agree Thank you! Credit Application Hard CopyLease Application Hard Copy
