Commercial Funding Group Inc. Wednesday, November 22, 2017   
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Please read our privacy policy before completing the Working Capital Credit Application - Professionals Only form.

If you prefer, you can download and print the application below:

Working Capital Credit Application - Professionals Only
Download PDF document(PDF - 165 KB)

WORKING CAPITAL CREDIT APPLICATION - PROFESSIONALS ONLY

Instructions: All fields on this form are required except Fax # and Home Phone #. If ownership percentage is less than 100% for the first Shareholder/Officer/Director, you will be required to complete additional Shareholder/Officer/Director section(s).

Business & Application Details
Full Legal Name:
Operating As:
Business Structure: Corporation Proprietorship Partnership Other
In Business Since:
Address including Postal Code:
Profession:
 Lawyer  Notary Public  Accountant (CA/CGA/CMA/CPA)
 Architect Other
Is your business indebted / in arrears with Canada Revenue Agency?
  Yes No
Does your business have a Merchant Cash Advance or other short term loans outstanding?
  Yes No
 If yes, provide details:
Credit Limit on your Business / Overdraft / Line of Credit (if available):
Average Monthly Income:
Website:
Accounts Payable E-mail:
Work #: ( ) ext.
Fax #: ( )
Primary Contact:
Reason for Working Capital Loan:
Amount Requested: (min: $1,000, max: $75,000)
Requested Repayment Term: 3 6 9 12 15 18
(min: 3 months, max: 18 months)

Shareholder/Officer/Director #1 (total ownership must equal 100%)
Full Legal Name:
Date of Birth: (MM/DD/YYYY)
SIN #: --
Address including Postal Code:
  Own Rent
Property Value:
Mortgage Balance:
E-mail:
Have you ever filed for bankruptcy? Yes No
If yes, when? (MM/DD/YYYY)
Name of University Attended:
Years in Private Practice:
Years in Non-Private Practice:
Home Phone #:( )
Work Phone #: ( ) ext.
Mobile Phone #: ( )
Marital Status: Married Common-Law Single Divorced Separated
Ownership Percentage: % (of applicant)

Shareholder/Officer/Director #2 (total ownership must equal 100%)
Full Legal Name:
Date of Birth: (MM/DD/YYYY)
SIN #: --
Address including Postal Code:
  Own Rent
Property Value:
Mortgage Balance:
E-mail:
Have you ever filed for bankruptcy? Yes No
If yes, when? (MM/DD/YYYY)
Name of University Attended:
Years in Private Practice:
Years in Non-Private Practice:
Home Phone #:( )
Work Phone #: ( ) ext.
Mobile Phone #: ( )
Marital Status: Married Common-Law Single Divorced Separated
Ownership Percentage: % (of applicant)

Shareholder/Officer/Director #3 (total ownership must equal 100%)
Full Legal Name:
Date of Birth: (MM/DD/YYYY)
SIN #: --
Address including Postal Code:
  Own Rent
Property Value:
Mortgage Balance:
E-mail:
Have you ever filed for bankruptcy? Yes No
If yes, when? (MM/DD/YYYY)
Name of University Attended:
Years in Private Practice:
Years in Non-Private Practice:
Home Phone #:( )
Work Phone #: ( ) ext.
Mobile Phone #: ( )
Marital Status: Married Common-Law Single Divorced Separated
Ownership Percentage: % (of applicant)

The undersigned certifies the above information to be true and correct. By signing below, I consent and authorize Commercial Funding Group Inc. (hereinafter, known as CFG) and its representatives, at any time to obtain on an on-going basis, verify, use, communicate with and disclose to third parties (including credit reporting agencies, credit exchanges, leasing brokers, and credit grantors, on an on-going basis) any of my credit, financial, and personal information that CFG deems necessary to complete, service or enforce any lease, ancillary deed or transaction, including but not limited to assignments and securitizations. You authorize us to collect, hold, exchange and disclose your personal information as requested in order to administer your contract & determine your insurance eligibility as required or permitted by law. You also authorize us to use your personal information for internal statistical analysis purposes.

I/We certify the above information to be true and correct. I/We hereby authorizes Commercial Leasing Group Inc., and / or any of its designated underwriters, or an authorized Equifax Agent, to obtain, or exchange personal information in whatever manner it may deem satisfactory, all the credit information it requires, whatever the source, such source(s) being hereby authorized to provide such information.

CONSENT TO PERSONAL INFORMATION SHARING. Lessee consents and authorizes Lessor and its agents, at any time to communicate with and disclose to third parties (including Credit Reporting Agencies, Credit Exchanges, Leasing Brokers and Credit Grantors) any of Lessee credit, financial and personal information that Lessor deems necessary to complete, service or enforce this Lease and Ancillary Agreements, including additions, modifications, updates or other related transactions, including but not limited to the Assignment, Sale or Securitization of this Lease. This clause survives the term or termination of this Lease.CREDIT INVESTIGATION. Lessee hereby authorizes Lessor to conduct financial and credit investigations of Lessee for the purposes of approval, maintenance and enforcement of this Lease, or any judgement obtained by Lessor as a result of any default hereunder, and to obtain any information required from any source to which it may apply, and each source is hereby authorized to provide such information to Lessor. This includes, but is not limited to, the Lessor obtaining information from any credit reporting agency, creditor of Lessee, or banking and other financial institution where Lessee may have credit or depository facilities. Lessor may obtain such information at any time before or during the Lease Term or after termination of the Lease in the event any monies remain owing to Lessor.

WAIVER. The parties hereto agree that this Agreement and all documents related thereto be written in the English language. (Les parties en présences conveniennent à ce que ce document soit rédige en anglais.)

I/We have read and understand and agree with the above terms and conditions.




        


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