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Financing Form

 
Phone:  (416) 771 - 1414
Fax: (705) 786 - 9799
COMMERCIAL CREDIT APPLICATION
Vendor Name:
Andrei Marcoviciu
Tel: 416-771-1414 Contact: Andrei
Fax: 705-786-9799
Equipment Description:
% Software/Soft Costs:
Amount:
Term:
Monthly Lease Payment:
Purchase Options:

LESSEE'S INFORMATION
Company Legal Name:
Contact & Title:
Address:
City:
Prov:
Postal Code:
Tel:
Business Type:
Corporation Partnership Proprietorship
Other Specify
Fax:
Business
Start Date:
Years under current
Ownership:
Website:

PRINCIPAL INFORMATION IS REQUIRED FOR COMPANIES UNDER 5YRS & FOR PROPRIETORSHIPS
Name:
Date of Birth:
Social Ins No:
Phone Number:
Home Address:
City:
Prov:
Postal Code:
Own
Rent
How Long at Current Address:
Estimated Home Value:
Mortgage Balance:
Monthly Payment:
* The undersigned certifies this above information to be true and correct.
Ontario Automotive Equipment RESPECTS AND HONOURS YOUR PRIVACY - OUR PRIVACY PROMISE.

By signing this Application, each of you, being the parties signing (including all lessees and all guarantors) agrees that Ontario Automotive Equipment is authorized and entitled to:

(a) Use your Personal Information (as hereinafter defined) to assess your ability to obtain your lease and to evaluate your ability to meet your financial obligations. This use includes disclosing and exchanging your Personal Information on an on-going basis with credit bureaus, credit reporting agencies and financial institutions or their agents, or to service providers, in order to determinate and verify, on-going basis, your continuing eligibility for your lease and your continuing ability to meet your financial obligations. This use, disclosure and exchange of your Personal Information will continue as long as either your lease, or any other Ontario Automotive Equipment product it is converted to, is outstanding, and will help protect you from fraud and will also protect the integrity of the credit-granting system.

(b) Use, disclose and exchange, on an on-going basis, all the personal information collected by us or delivered by you to us from time to time in connection with your lease and any Information obtained by us from time to time pursuant to paragraph (a) above (collectively your "Personal Information"! to other organizations which may fund all or any part of your lease and/or own all or any part of your lease and the security securing your lease from time to time and permit prospective investors in your lease to inspect your Personal Information.

The actions of Ontario Automotive Equipment pursuant to paragraph (a) and (b) above are called "Primary Purpose" for obtaining, using, exchanging and disclosing your Personal Information. Even though your lease and the security securing your lease may be funded or owned by one or more other organizations. Ontario Automotive Equipment will continue to service your interests in the lease.

By signing this Application, you also agree that Ontario Automotive Equipment is authorized and entitled to provide your Personal Information to other organizations referred to in (b) above, for the purpose of providing you with information about services and products that relate to your lease, as well as to other products and services which you might find of interest (the "Secondary Purpose")

You have the right to withdraw your consent to the use, disclosure or exchange of your Personal Information for the Secondary Purpose. To do this you must sign an Opt Out form and forward it to our Customer Service department. To obtain an Opt Out form, please contact a service representative at 1(888) 825-7690. However, if you withdraw your consent to the use, disclosure and exchange of your Personal Information for the Secondary Purpose, the services that are offered may not be available to you.

Privacy Commissioner Website:
http://www.privcom.gc.ca