Applicant’s Personal Information Ownership OwnRent Any previous dealings?YesNo Any prior repossession?YesNo Any prior legal suits?YesNo Have you ever declared bankruptcy?YesNo Transaction Details Equipment Information Attachement NewUsed $ Canadian$ US LeaseLoan ReasonAdditionalReplacement General Corporate Information Type CorporationProprietorshipPartnershipOther Top 3 Clients % Of Business Personal Net Worth Assets Value Residence Cash On Hand Personal Vehicles Investments/RRSP Other Assets Total Assets Liabilities Value Mortgage Loans Credit Card Other Liabilities Total Liabilities Total Assets - Total Liabilities (NET WORTH) Business/Personal References “The personal information may be gathered and used to provide products and to perform services as may be requested by you. We may also disclose your personal information to third parties such as the manufacturer of your vehicle, credit reporting agencies, financial institutions of financing companies, your insurance agent or company and/or companies which provide or insure warranties relating to your vehicle. You are entitled to access this personal information that you provide and you may ask that it be updated and rectified. I acknowledge that the information, including personal information, may be processed and stored outside of Canada. We may also disclose your personal information where we are permitted by law to do so. By signing this document below, you have consented to these uses and disclosures.” Submit
