Financial Application

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Application

Business Statement
Legal Business Name:
Operating as (if applicable):
Year End:
Years in business:
Mailing Address:
City/Town:
Province:
Postal Code:
Phone:
Cell
Fax
Email Address*
Principle Name(s):
Bank
A/R
Industry:
Reference ID
Annual Revenue:
Commercial Assets
Commercial Assets :
Approx. Value:
Approx. Balance:
Financed With:
Commercial Assets :
Approx. Value:
Approx. Balance:
Financed With:
Commercial Assets :
Approx. Value:
Approx. Balance:
Financed With:
Personal Statement
Applicant's Name:*
S.I.N.#:
Date of Birth (m/d/y):
Home Address:
City / Town:
Province:
Postal Code:
Phone:
Cell Phone:
# of Years:
Monthly Payment:
Previous Address:
City:
Province:
Spouse's Name (if applicable):
Personal Assets Personal Liabilities
Home:
Mortgage:
Other Real Estate:
Other Mortgage:
Vehicle(s) (Total):
Vehicle(s) Loan/Lease (total):
Cash:
Line of Credit:
RRSP's:
Other:
Stocks, Bonds, Investments:
Other
Other:
Equipment Information
Year
Make
Model
Price
Dealer/ Private
I hereby certify the above information to be true and correct. We consent to Global and assigns collecting and using the information gathered in order to determine our credit worthiness and also consents to the disclosure at any time of any information concerning the undersigned to any credit agencies and/or grantors with whom Global has financial relations. I consent to receive communications from Global by email or other forms of electronic communications and understand that I can withdraw my consent to receipt of electronic messages at any time
Type your name in the field below in order to accept conditions:*
Please answer below : *

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Financial Application

Financial Application

Application

Business Statement

Commercial Assets

Personal Statement

Personal Assets Personal Liabilities

Equipment Information