Transportation Application

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Supplier & Transaction Details

Customer Details

Personal Net Worth Of Primary Applicant

Asset Description

Value

Liability Description

Value

Cash

Credit Card, Lines of Credit

RRSP

Installments Loans

Vehicles

Loan on Vehicle

Real Estate

Mortgage

Other

Total Assets

Total Liabilities

Additional Applicant/Guarantor

Truck Usage Information

I/We, the applicant, principal and/or guarantor each

acknowledge that providing a social insurance number is optional and not a condition to obtaining a credit review
consent to the collection, use and disclosure of personal information for the purposes of credit adjudication by the Lessor/Lender and its funders and to enable the Lessor/Lender and its assignees to provide financing and to promote the products and services of the Lessor/Lender and its affiliates; and
consent to the Lessor/Lender and its funders obtaining information relating to the applicant, principal and/or guarantor from credit reporting agencies in connection with this application.

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