Loan Approval Form

Applicant’s Personal Information

Full Legal Name
Field is required!
Field is required!
Birth Date (M/D/Y)
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Field is required!
SIN
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Field is required!
Home Address:
Field is required!
Field is required!
City
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Field is required!
State / Province:
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Field is required!
Postal Code
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Field is required!
Home Phone Number
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Field is required!
Cell Number
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Field is required!
Email Address
Field is required!
Field is required!
Any previous dealings with Peel Lending?
Field is required!
Field is required!
Any prior repossession?
Field is required!
Field is required!
Any legal suits?
Field is required!
Field is required!
Have you ever declared bankruptcy?
Field is required!
Field is required!

General Corporate Information

Full Legal Business Name (Including “Operating AS”)
Field is required!
Field is required!
Field is required!
Field is required!
Corporate Address
Field is required!
Field is required!
City
Field is required!
Field is required!
State / Province
Field is required!
Field is required!
Postal Code
Field is required!
Field is required!
Phone
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Field is required!
Fax Number
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Field is required!
Website
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Field is required!
Financial Year End
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Field is required!
Top 3 Clients
Field is required!
Field is required!
Field is required!
Field is required!
Field is required!
Field is required!
% of Business
Field is required!
Field is required!
Field is required!
Field is required!
Field is required!
Field is required!
Total Years in Business
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Field is required!
Number of Employees
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Field is required!
Fleet Size
Field is required!
Field is required!
Number of Trucks
Field is required!
Field is required!
Number of Trailers
Field is required!
Field is required!
Shareholder Contact Name
Field is required!
Field is required!
Ownership %
Field is required!
Field is required!
Shareholder Contact Name
Field is required!
Field is required!
Ownership %
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Field is required!

Personal Net Worth

Assets

Residence
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Field is required!
Cash on Hand
Field is required!
Field is required!
Personal Vehicles
Field is required!
Field is required!
Investments/RRSP
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Field is required!
Other Assets
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Field is required!
Total Assets
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Field is required!

Liabilities

Mortgage
Field is required!
Field is required!
Loans
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Field is required!
Credit Card(s)
Field is required!
Field is required!
Other Liabilities
Field is required!
Field is required!
Total Liabilities
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Field is required!
NET WORTH (Total Assets- Total Liabilities)
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Field is required!

Business/Personal References

Reference 1 Name
Field is required!
Field is required!
Relationship
Field is required!
Field is required!
Address
Field is required!
Field is required!
Telephone
Field is required!
Field is required!
Reference 2 Name
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Field is required!
Relationship
Field is required!
Field is required!
Address
Field is required!
Field is required!
Telephone
Field is required!
Field is required!
“The personal information may be gathered and used by Peel Financial Inc and its assignees and potential assignees, 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.”