Online Credit Application

Complete and submit this digital application for rapid credit approval.

TEL: (888) 398-0014

FAX: (877) 233-5915

Email: info@easylendfinancial.com

Web: www.easylendfinancial.com

1211 Gorham Street, Unit #4, Newmarket, ON, L3Y 8Y3

1. Personal Information (Name / Address) Section A

Last Name *

First Name *

M.I.

Marital Status

Residential Street Address *

City *

Province *

Postal Code *

Phone Number *

Home Ownership

Own Rent

Value of Property ($)

Mortgage Balance ($)

Time at Residence

Date of Birth *

S.I.N. (Optional)

2. Company Information Section B

Legal Name of Business *

In Business Since

Legal Form Under Which Business Operates *

Corporation Partnership Proprietorship

Business Address

City

Province

Postal Code

Business Phone

Annual Sales ($)

Website URL

Num. of Employees

Company E-Mail Address *

Industry Business is In

3. Equipment to be Financed / Leased Section C

Vendor Name *

Model, Make & Year *

Estimated Cost ($) *

Condition *

New Used

Desired Term

Vendor Address

Vendor City

Vendor Province

Vendor Postal Code

Sales Representative Name

Sales Representative Phone

4. Terms & Disclosure Statement Section D

Verbatim Disclosure Statement:

The undersigned certifies that the above information to be true and correct. By signing below, I/we consent and authorize the following entity: 2356846 Ontario Inc. O/A Easy Lend and its representatives, at any time to obtain on an on-going basis, verify, use, communicate with and disclose to third parties (including credit reporting agencies, credit exchange, leasing brokers, and credit grantors on an on-going basis) any of my credit, financial, and personal information that 2356846 Ontario Inc O/A Easy Lend deems necessary to complete, service or enforce any lease, ancillary deed or transaction, including but not limited to assignments and securitizations. You/we authorize us to collect, hold, and disclose your personal information as requested in order to administer your contract & determine your insurance eligibility as required or permitted by law. You also authorize us to use your personal information for internal statistical analysis purposes. I have read and accepted this Disclosure Statement.

I have read, understood, and accept the Disclosure Statement above, and certify that all details supplied are accurate and true. *

Applicant Digital Signature *

Draw your signature inside the box using a mouse, trackpad, or touchscreen.

Application Date *

Data is securely transmitted and processed by Easy Lend Financial.

About Easy Lend Financial

Easy Lend Financial (2356846 Ontario Inc. O/A Easy Lend) provides flexible commercial equipment leasing and financing solutions to businesses across Canada. We offer rapid turnarounds, structured credit approvals, and dedicated account support.

Direct Contact

Toll Free: (888) 398-0014

Fax: (877) 233-5915

Email: info@easylendfinancial.com

Website: easylendfinancial.com

Head Office Location

Easy Lend Financial
1211 Gorham Street, Unit #4
Newmarket, Ontario
L3Y 8Y3, Canada

Online Credit Application

About Easy Lend Financial

Direct Contact

Head Office Location

Credit Application Submitted!