CONSULTANT AGREEMENT
Credit Application
All Information Contained Herein Shall Be Considered Confidential:
Date: ______________________________ Title: _______________________________
Legal Name: ______________________________ Phone: _______________________________
Operating Name: ______________________________ Fax: _______________________________
Company Contact: ______________________________ Cell: _______________________________
Address: ______________________________ Email: _______________________________
City, Prov., P.C. ______________________________________________________________________
Describe your company and the business you do: _____________________________________________
_____________________________________________________________________________________
How did you find out about us? ___________________________________________________________
Sole Proprietor Partnership LLC Corporation
Corporation #:
Date established: _________ Years in present ownership:__________
2015 Annual Revenue: _____________ 2016 Annual Revenue: _____________
Amount of funding requested $ _____________________ Preferred loan type: ___________
(Examples of loan types: Business Term Loan, Line of Credit, Merchant Cash Advance, Invoice Factoring, Commercial Mortgage)
If you have chosen a Merchant Cash Advance, what is your average monthly summary total: $__________
What will the funds be used for: ___________________________________________________________
______________________________________________________________________________________
Principals of The Company:
Officer 1 Name: ___________________________________________________________________ Title: ___________________________________________________________________
SIN#: ___________________________________________________________________ Date of Birth: ___________________________________________________________________ Home Address: ___________________________________________________________________ Signing Authority: Yes_______ No _______ Percentage Owned: _____________________
Officer 2 Name: ___________________________________________________________________ Title: ___________________________________________________________________
SIN#: ___________________________________________________________________ Date of Birth: ___________________________________________________________________ Home Address: ___________________________________________________________________ Signing Authority: Yes_______ No _______ Percentage Owned: _____________________
Officer 3 Name: ___________________________________________________________________ Title: ___________________________________________________________________
SIN#: ___________________________________________________________________ Date of Birth: ___________________________________________________________________ Home Address: ___________________________________________________________________ Signing Authority: Yes_______ No _______ Percentage Owned: _____________________
please list ‘2’ Supplier References: (Companies who give you credit) If you do not receive credit from any company(s), leave blank
1. Name: _____________________________________________________________
Telephone Number: _____________________________________________________________
Business Name: _____________________________________________________________
Association with you: _____________________________________________________________
2. Name: _____________________________________________________________
Telephone Number: _____________________________________________________________
Business Name: _____________________________________________________________
Association with you: _____________________________________________________________
* Please Rate Your Credit For Us Between 1 & 10, with 1 being poor & 10 being excellent: ___________
Banking Information:
Name of Bank: Branch Address: _________________________
Chequing Acct #: Contact Person: _________________________
Are any company assets pledged as security?
Circle all that apply.: Accounts Inventory Equipment Invoices None
Bank Loans:_______________________________ Collateral: ___________________________________
Have you ever had any personal or corporate Litigation/Judgment? Yes ? No
(If Yes, please describe here) ______________________________________________________________
Have you ever been convicted or found guilty of an offense under any law or are any charges now pending?
If yes, please attach full particulars on a separate sheet signed and dated statement. ? Yes ? No
Have you ever gone insolvent? ? Yes ? No
The foregoing information is true and correct to the best of my knowledge and is given to induce Capital Credit Canada’s lending partners to consider entering into a financing agreement with this company. I hereby authorize Capital Credit Canada’s lending partners or their agents to verify and investigate any or all of the foregoing statements, including but not limited to my/our credit worthiness and financial responsibility. I/We grant Capital Credit Canada’s lending partners the right to procure any and all credit reports pertaining to any party listed in this application, including, but not limited to, all principals of the applicant company.
Agreed and consented to:
Signature: _____________________________ Print Name: ___________________________
Title: _____________________________ Date: ___________________________
Signature: _____________________________ Print Name: ___________________________
Title: _____________________________ Date: ___________________________
Signature: _____________________________ Print Name: ___________________________
Title: _____________________________ Date: ___________________________
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related download
- event management principles and methods
- construction management agreement
- digital lending boston consulting group
- this is only an overview of the ppp loan forgiveness
- special event vendor listing
- brian p kemp christopher nunn governor
- business plan sample
- business planning template
- request for proposal rfp
- microsoft word public works pre qualification of contractors
Related searches
- home based independent consultant opportunities
- new home party consultant opportunities
- list of independent consultant opportunities
- become a consultant selling products
- it works consultant finder
- home based independent consultant oppo
- top independent sales consultant compa
- be a consultant sell products
- become a consultant for free
- college consultant near me
- independent sales consultant contract
- be a consultant from home