CreditApplication

FINANCE APPLICATION

Business Owner Info

This field is required
This fields is required
This fields is required
This fields is required
Province*
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Format: A0A 0A0
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This fields is required
This fields is required

Property Status*
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This fields is required
Length of time at current address*
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This fields is required

Company Information

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This field is required
This field is required
This field is required
This field is required
Date Business Incorporated*
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Business Registration Type: *
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This field is required
This field is required
Province *
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Format:A0A 0A0
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Property Status*
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This fields is required
Length of time at current address*
This field is required
This field is required
This fields is required
This fields is required
Business Activites *
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Bank Information

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This fields is required
Province *
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Format: A0A 0A0
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Account Type *
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Financial Info

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This fields is required
This fields is required
Customer/Client Type *
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This fields is required
This fields is required

Assets


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Total Assets*
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Liabilites


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This fields is required
This fields is required
This fields is required
Liability Total*
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Business/Trade References

Reference 1


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This fields is required
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This fields is required
This fields is required
This fields is required

Reference 2


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Loan Requirements


Loan Type*
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This fields is required
Term*
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Date Funds Required*
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This fields is required

Authorization


I/We hereby certify that the information given above is true, accurate and complete as at the statement date. I/We fully understand that such information shall be used to determine the company’s and my/our credit worthiness. I/We understand that ALL INFORMATION WILL BE VERIFIED and any information that proves inaccurate may result in the application being terminated. I/We authorize CORfinancial Corp. or its assignees to obtain all the information they require and further authorize the disclosure of said information to other lenders, credit bureaus and other reporting agencies.

Date*
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This fields is required