COMMERCIAL LEASE CREDIT APPLICATION

Commercial Lease Credit Application

6921 Steeles Ave. W. Unit #8, Toronto, ON M9W 6T5

Toll Free: 1-855-403-5626 | Tel: (905) 598-5626

Fax: 1-877-443-6397

Email: credit@cikcapital.com

Web: www.cikcapital.com

COMMERCIAL LEASE CREDIT APPLICATION

PRINCIPAL'S INFORMATION

LEGAL FIRST NAME

LEGAL MIDDLE NAME

LEGAL LAST NAME

CURRENT HOME ADDRESS

CITY

PROVINCE

POSTAL CODE

YEARS AT ADDRESS

OWN or RENT

MONTHLY PAYMENT

PREVIOUS HOME ADDRESS

HOME TELEPHONE

WORK TELEPHONE

CELL PHONE

DATE OF BIRTH (MM/DD/YYYY)

SOCIAL INSURANCE #

EMAIL ADDRESS

JOB EXPERIENCE DETAIL #1

LENGTH OF EXPERIENCE

JOB EXPERIENCE DETAIL #2

LENGTH OF EXPERIENCE

JOB EXPERIENCE DETAIL #3

LENGTH OF EXPERIENCE

EQUIPMENT INFORMATION

EQUIP. MAKE/MODEL/YEAR

PERSONAL NET WORTH STATEMENT (FOR CREDIT REQUESTS OVER $15,000 and NEW IN BUSINESS)

ASSETS
Cash in chequing & savings

DESCRIPTION

ESTIMATED MARKET VALUE $

Real Estate #1

Real Estate #2

Stocks, bonds, RRSPs, GIC's

Auto #1 (yr. & type)

Auto #2 (yr. & type)

Auto #3 (yr. & type)

Other Asset(s)

TOTAL ASSETS

LIABILITIES
Real Estate mortgage #1

DESCRIPTION

AMOUNT

Real Estate mortgage #2

Stock/bonds loan

Auto Loan #1

Auto Loan #2

Bank Loan

Line of Credit

Credit Cards

TOTAL LIABILITIES

TOTAL NET WORTH equals TOTAL ASSETS minus TOTAL LIABILITIES

CERTIFICATION AND CONSENT TO COLLECT, USE AND DISCLOSE INFORMATION

I, the Applicant, warrant and confirm that the information given herein is true and correct and I understand that it is being used to determine my credit responsibility. CIK Capital Corp. or its affiliates are authorized to obtain, and any source is authorized to disclose, any information CIK Capital Corp. may require at any time relative to this application from each source to which CIK Capital Corp. may apply and each such source is hereby authorized to provide CIK Capital Corp. with such information. CIK Capital Corp. is furthermore authorized to disclose in response to direct inquiries from lenders or credit bureaus, such information on any loaning account as you consider appropriate and I agree to Indemnify CIK Capital Corp. against and save you harmless from any and all claims in damages or otherwise arising from such disclosure on your part. I specifically acknowledge that CIK Capital Corp. may disclose my personal information regardless of when or how such information was collected, to related companies, financial institutions and credit providers with whom CIK Capital Corp. has financial relations.

INDIVIDUAL #1 SIGNATURE:

Date:

INDIVIDUAL #2 SIGNATURE

Date:

COMMERCIAL LEASE CREDIT APPLICATION CHECKLIST

Upload Files

COMMERCIAL LEASE CREDIT APPLICATION

COMPANY INFORMATION

PRINCIPAL'S INFORMATION

EQUIPMENT INFORMATION

PERSONAL NET WORTH STATEMENT (FOR CREDIT REQUESTS OVER $15,000 and NEW IN BUSINESS)

CERTIFICATION AND CONSENT TO COLLECT, USE AND DISCLOSE INFORMATION

COMMERCIAL LEASE CREDIT APPLICATION CHECKLIST