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Fleet | Business Credit Application


Note: this application is for Incorporated Businesses only (must have a certificate of incorporation).

Incorporated Businesses must submit two year-end financial statements and most current balance sheet and profit / loss on business or current tax return.
Corporation Non-profit Organization
Type of Financial Statement:
Audited   Unaudited   Review Engagement    Fiscal Year-End:
Accountant Name: Phone No:
Legal Name: GST/HST Reg. No:
Other Name(s) under which applicant's credit/trade references or history can be found:
Present Address: City:
Province: Postal Code:
Phone No:
(incl. area code)		 Fax No:
(incl. area code)
Email Address:    
Type of Business (Be specific):
Years in
Business:		 No. of Employees:
Province of
Incorporation:		 Incorporation Date:
Annual
Revenues ($):		 Total Assets ($):
Total
Liabilities ($):		    
       
OWNERSHIP
       
Owner #1:      
Name of Owner: Title:
Street Address: City:
Province: Postal Code:
% of Ownership: Active in Business Inactive in Business
Owner #2:      
Name of Owner: Title:
Street Address: City:
Province: Postal Code:
% of Ownership: Active in Business Inactive in Business
Owner #3:      
Name of Owner: Title:
Street Address: City:
Province: Postal Code:
% of Ownership: Active in Business Inactive in Business
       
VEHICLE INFORMATION
       
Intended Use of Vehicle(s):
No. of Vehicles
in Fleet:		 Type of
Vehicle(s):
Annual average
Km per vehicle:		 Ford Fleet Code:
       
BANK/CREDIT UNION INFORMATION
       
Institution #1:      
Name: Address:
Contact: Phone No:
(incl. area code)
Account No: Total Obligation ($):
Institution #2:      
Name: Address:
Contact: Phone No:
(incl. area code)
Account No: Total Obligation ($):
       
FINANCING SOURCES (List Two Bank and Vehicle / Equipment Financing / Leasing Sources)
       
Source #1:      
Name: Address:
Contact: Phone No:
(incl. area code)
Account No: Total Obligation ($):
Source #2:      
Name: Address:
Contact: Phone No:
(incl. area code)
Account No: Total Obligation ($):
       
TRADE REFERENCES (Provide Three Major Trade References with which your business has been
                                     transacting over the past 5 years)
       
Reference #1:      
Name: Address:
Contact: Phone No:
(incl. area code)
Type of Transactions:
Reference #2:      
Name: Address:
Contact: Phone No:
(incl. area code)
Type of Transactions:
Reference #3:      
Name: Address:
Contact: Phone No:
(incl. area code)
Type of Transactions: