Please enable JavaScript in your browser to complete this form.Tell Us About Your Company - Step 1 of 3Company Legal NameFirstLastNature Of BusinessTime In BusinessSelectSelectStart Up Business1 Year2 Years3 Years4 Years5 Years +10 years +20 Years +Business AddressAddress Line 1Address Line 2CityState / Province / RegionPostal CodeBusiness Phone NumberBusiness Fax NumberEmailFor any amount requested over $75,000, we require 2 years business tax returns and 3 months bank statements.NextYour NameFirstLastSpouse NameFirstLastHome AddressAddress Line 1Address Line 2CityState / Province / RegionPostal CodeYour Phone NumberYour Date Of BirthFirstMiddleLastYour Social Insurance NumberYour Spouse Date Of Birth FirstMiddleLastSpouse Insurance NumberYears At Home AddressFirstMiddleLastAnnual Gross Income$Title or PositionSpouse Annual Income$ Spouse Employer NameCurrent Home ValueMortgage Owing% Business OwnershipHave you or your spouse ever declared personal bankruptcy?YesNoIf Yes, What Year?Please supply Business Owner Personal Information on all Owners - (Separate Signed Forms)NextEquipment Supplier NameContact NameFirstLastSupplier Contact NumberSupplier Email addressEquipment CostIs The Equipment New Or UsedNewUsedDown Payment AmountLease Term1 Year2 Years3 Years4 Years5 YearsEquipment DetailsReason For PurchaseCredit Investigation and Disclosure of Personal Information By Checking, Customer hereby consents to submit conducting a personal investigation and or credit check upon Business and Owner/Spouse for the express purpose of determining Customer's credit worthiness, subject to application legislation. Customer hereby warrants all information to be true and accurate and Gateway Financing & Auto Sales to any assignees or other parties acquiring the Lease or interest in the Lease or entering into arrangement with respects of the Lease. Customers hereby consent to transfer of his/her personal information to any purchaser of Summit or its business or as required during the term of the lease. SignatureClear SignatureSubmit
