North
American Lease Underwriters Inc
#200 2030 Marine Drive, North Vancouver, B.C. V7P 1V7 . . Fax: (604)
980-4345
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Consumer Lease Application Form
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How to submit
this application form:. |
1.
2.
3.
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Print out blank form
Complete and sign
Send by fax or mail |
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Personal
Information |
Last Name
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First Name
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Initials |
Address
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City
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Province |
Postal Code
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Phone |
Own/Rent/Other
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How Long |
Date of Birth
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# of dependents |
Social Insurance #
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Previous Address
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How long |
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About My Work |
Employer Name
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Employer Address
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Gross Annual Income/Salary
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Work status
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Full Time, Part Time, Self
Employed, Retired, Student |
#
of years with present employer
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Current Position/Title
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Former Employer
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Address
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Previous Position/Title
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About My Spouse |
Spouse's Last Name
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First Name
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Initials |
Spouse's Employer
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Gross Annual Income/Salary
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Work status
.
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Full Time, Part Time, Self
Employed, Retired, Student |
#
of years with present employer
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Current
Position/Title |
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About My
Finances |
Other Monthly Income
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Sources of Other Income
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Monthly Mortgage/Rent Payments
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Estimated Value of Real
Estate |
Bank
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Branch |
Acct #
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Equipment
Information |
Equipment Type
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Equipment Cost
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Vendor Term |
Representative
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The undersigned certifies the above
information to be true and
correct by signing below. We
consent to North American Lease Underwriters
Inc. obtaining from any credit
reporting agency of credit grantor,
such information as it may require
at any time in connection with
the credit hereby applied for, and
consent to the disclosure at
any time of any information
concerning the undersigned to any
credit reporting agency or to any
credit grantor with whom the
undersigned has financial
relations. |
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Signature of
Applicant
Signature of
Co-Applicant
Date |