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 COMPANY INFORMATION COMPANY LEGAL NAME OPERATING AS ADDRESS (NO P.O. BOX) CITY PROVINCE POSTAL CODE INCORPORATION / BUSINESS REGISTRATION DATE E-MAIL ADDRESS TELEPHONE PLATING PROVINCE HAULING DETAILS BUSINESS DESCRIPTION YEARS IN BUSINESS PARKING LOCATION HAULING RATIO 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/ODOMETER FREE & CLEAR FINANCED ADDITIONAL/REPLACEMENT 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 LEGAL STATUS PREVIOUS HOME ADDRESS HOME TELEPHONE CELL PHONE PAST BRANKRUPCY/PROPOSAL DATE OF BIRTH (MM/DD/YYYY) SOCIAL INSURANCE # EMAIL ADDRESS 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: BUSINESS & TRANSACTION INFORMATION BUSINESS LEGAL NAME INTERESTED AMOUNT PLEASE WRITE A BRIEF SUMMARY, FOR THE ITEMS BELOW. QUESTION1: SUMMARY OF THE BUSINESS (HISTORY AND ACTIVITIES) QUESTION2: GUARANTORS’ HISTORY WITH THE BUSINESS AND RELATIONSHIP QUESTION3: ANY CURRENT LENDERS AND STATUS QUESTION4: USE OF THE PROCEEDS ADDITIONAL INFORMATION DOES THIS BUSINESS HAVE MORE THAN ONE LOCATION? YesNo FISCAL YEAR END OF YOUR COMPANY? WHAT IS THE NAME AND CONTACT OF YOUR ACCOUNTANT? WHAT IS THE NAME AND CONTACT OF YOUR INSURANCE BROKER? WHICH ACCOUNTING SOFTWARE DO YOU USE? WHO IS YOUR PRIMARY BANK? DO YOU HAVE REVENUE CANADA MY CRA ACCOUNT SET UP? YesNo COMMERCIAL LEASE CREDIT APPLICATION CHECKLIST COMPLETED CREDIT APPLICATIONACCEPTABLE IDENTIFICATION (2 PEICES)MOST RECENT BANK STATEMENTS (PAST 3)ARTICLES OF INCORPORATIONOFFER OF EMPLOYMENTLAST 2 YEARS T2 GENERAL Upload Files ❌ ❌
