FDF
A_Lease_personal_cr_app_.pdf
Telephone: 1-877-695-2123
Fax
to 416-695-1203
INDIVIDUAL APPLICATION
JOINT APPLICATION
NAME
CO-APPLICANT NAME
HOME TELEPHONE
(
)
-
DATE OF BIRTH
SOCIAL INS NUMBER
HOME TELEPHONE
(
)
-
DATE OF BIRTH
SOCIAL INS NUMBER
CELL PHONE
(
)
-
E-MAIL ADDRESS
CELL PHONE
(
)
-
E-MAIL ADDRESS
ADDRESS
HOW LONG?
YRS.
MOS.
ADDRESS
HOW LONG?
YRS.
MOS.
CITY
Prov
Postal Code
CITY
Prov
Postal code
RESIDENCE
RENT
VALUE OF PROPERTY $____________
OWN
MORTGAGE AMOUNT
$____________
MONTHLY
PAYMENTS
$
RESIDENCE
RENT
VALUE OF PROPERTY $____________
OWN
MORTGAGE AMOUNT
$____________
MONTHLY
PAYMENTS
$
PREVIOUS ADDRESS IF LESS THAN 2 YRS
HOW LONG?
YRS.
MOS.
PREVIOUS ADDRESS IF LESS THAN 2 YRS
HOW LONG?
YRS.
MOS.
CITY
Prov
Postal Code
CITY
Prov
Postal Code
NAME
O
F EMPLOYER
HOW LONG?
YRS.
MOS.
NAME
O
F EMPLOYER
HOW LONG?
YRS.
MOS.
ADDRESS
BUSINESS PHONE
(
)
-
ADDRESS
BUSINESS PHONE
(
)
-
CITY
Prov
Postal Code
CITY
Prov
Postal Code
POSITION / OCCUPATION
MONTHLY INCOME
$
POSITION / OCCUPATION
MONTHLY INCOME
$
PREVIOUS EMPLOYER IF LESS THAN 2 YRS
NAME
ADDRESS
POS. HELD
PREVIOUS EMPLOYER IF LESS THAN 2 YRS
NAME
ADDRESS
POS. HELD
TYPE OF OTHER INCOME:
SOURCE:
MONTHLY AMOUNT: $
BANK
NAME OF BANK
ADDRESS
REFERENCE
CREDIT REFERENCES:
(INCLUDE ALL BANK AND MAJOR CREDIT CARDS, AUTO LOANS AND OTHER PERSONAL CREDIT)
CREDITOR NAME
ADDRESS
AMOUNT FINANCED
$
MO. PYMT OR DATE PAID
$
BALANCE DUE
$
$
$
$
$
$
$
LAST VEHICLE PUCHASED (MAKE. MODEL. YEAR)
FINANCED BY
ADDRESS
MO. PYMT OR DATE CLOSED
NAME AND ADDRES5 OF
NEAREST RELATIVE OR PERSONAL REFERENCE (NOT LIVING WITH YOU):
NAME
ADDRESS
RELATIONSHIP
YEARS KNOWN
NAME
ADDRESS
RELATIONSHIP
YEARS KNOWN
HAVE YOU EVER HAD ANY
PROPERTY REPOSSESSED?
DO YOU HAVE ANY SUITS
PENDING
AGAINST YOU?
HAVE YOU FILED BANKRUPTCY
IN THE LAST 10 YEARS?
I certify that the above information is complete and accurate. I authorize A-Lease System Inc and its affiliated lending institutions
to investigate information as they deem necessary.
Applicant ______________________________ Co-Applicant ______________________________ Date _________________
DRIVER’S LICENSE NUMBER
ADDRESS WHERE VEHICLE WILL BE
GARAGED (IF OTHER THAN HOME ADDRESS)
CHECKING
BALANCE
$
SAVINGS
BALANCE
$
YES
NO
YES
NO
YES
NO