Company InformationLegal NameOperating AsAddress (NO P.O. BOX)CityProvincePostal CodePhoneFaxWebsiteBusiness InformationYears in BusinessAnnual SalesNumber of EmployeesSelect Business TypeSelect Business TypeSole ProprietorPartnershipCorporationIncorporation DateMonthSelect month123456789101112DaySelect day12345678910111213141516171819202122232425262728293031YearSelect Year212421232122212121202119211821172116211521142113211221112110210921082107210621052104210321022101210020992098209720962095209420932092209120902089208820872086208520842083208220812080207920782077207620752074207320722071207020692068206720662065206420632062206120602059205820572056205520542053205220512050204920482047204620452044204320422041204020392038203720362035203420332032203120302029202820272026202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924Email AddressPrincipal's InformationLegal First NameLegal Middle NameLegal Last NameHome AddressCityProvincePostal CodeYears at AddressOwn or RentalChoose OneOwnRentMonthly PaymentHome PhoneWork PhoneCell PhoneDate of BirthMonthSelect month123456789101112DaySelect day12345678910111213141516171819202122232425262728293031YearSelect Year212421232122212121202119211821172116211521142113211221112110210921082107210621052104210321022101210020992098209720962095209420932092209120902089208820872086208520842083208220812080207920782077207620752074207320722071207020692068206720662065206420632062206120602059205820572056205520542053205220512050204920482047204620452044204320422041204020392038203720362035203420332032203120302029202820272026202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924Social Insurance Number0 / 9Personal Email AddressJob Title% of OwnershipEquipment InformationEquipment Make/Model/YearTypeNewUsedAddition to FleetYesNoVendor NameVendor Contact NameVendor Email AddressVendor PhoneVendor FaxEquipment PriceDownpaymentDesired Term Length (Months)Personal Net Worth Statement (Requests over $50,000)AssetsCash in Chequing & SavingsReal Estate 1Real Estate 1 DetailsReal Estate 2Real Estate 2 DetailsStocks, bonds, GIC's,RRSPStocks, bonds, GIC's, RRSP's DetailsAuto 1Auto 1 DetailsAuto 2Auto 2 DetailsOther Asset(s)Other Asset(s) DetailsTotal Assets$LiabilitiesReal Estate Mortgage 1Real Estate Mortgage 1 DetailsReal Estate Mortgage 2Real Estate Mortgage 2 DetailsLine of CreditLine of Credit DetailsAuto Loan 1Auto Loan 1 DetailsAuto Loan 2Auto Loan 2 DetailsBank LoansBank Loan DetailsCredit CardsCredit Cards DetailsTotal Liabilities$TOTAL NET WORTH equals TOTAL ASSETS minus TOTAL LIABILITIES$Full NameDate of SubmissionMonthSelect month123456789101112DaySelect day12345678910111213141516171819202122232425262728293031YearSelect Year212421232122212121202119211821172116211521142113211221112110210921082107210621052104210321022101210020992098209720962095209420932092209120902089208820872086208520842083208220812080207920782077207620752074207320722071207020692068206720662065206420632062206120602059205820572056205520542053205220512050204920482047204620452044204320422041204020392038203720362035203420332032203120302029202820272026202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924CERTIFICATION AND CONSENT TO COLLECT, USE AND DISCLOSE INFORMATION *I, the Applicant, warrant and confirm that the information given herein is true and correct and I understand that it is being used to confirm my identity, comply with regulatory requirements, and determine my credit responsibility with respect to the financing being requested. Trademark Capital Finance Corporation or its affiliates are authorized to obtain and use, and any source is authorized to disclose, any information Trademark Capital Finance Corporation may require, including my personal information, at any time relative to this application from each source to which Trademark Capital Finance Corporation may apply and each such source is hereby authorized to provide Trademark Capital Finance Corporation with such information. Trademark Capital Finance Corporation is furthermore authorized to disclose in response to direct inquiries from lenders or credit bureaus, such information on any loaning account as it considers appropriate, and I agree to Indemnify Trademark Capital Finance Corporation against and save it harmless from any and all claims in damages or otherwise arising from such disclosure on its part. I specifically acknowledge that Trademark Capital Finance Corporation may disclose my personal information regardless of when or how such information was collected, to related companies, financial institutions, third parties and credit providers with whom Trademark Capital Finance Corporation has financial relations, any of which is permitted to obtain a credit bureau from a reporting agency and to keep a file containing my personal information. Trademark Capital Finance Corporation may keep a file containing some or all of my personal information, whether or not the requested credit is granted. I have a general right to access and rectify the personal information in this file by making a request.Submit ApplicationPlease do not fill in this field.