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(905) 799-2152

About Us

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    KING TRUCK LOAN & LEASING INC

    1940 Steeles Ave | East | Unit 102 | Brampton, ON | L6T 1A7

    TEL: 905 799 2152 FAX: 905 247 0612

    Lakhbir Sahi    Direct: 647-501-4385

    Email: lakhbir@kingtruckloan.com

    Main Applicant

    Full Legal Name:

    Home Phone Number:

    Date Of Birth:

    Sin Number:

    US Phone Number:

    Cell Phone Number:

    Address:

    City/Province:

    Postal Code:

    Are you a Home Owner?

    YesNo

    Any Prior Repossession?

    YesNo

    Any Judgements/Legal suits?

    YesNo

    Have you ever declared Bankruptcy?

    YesNo

    How long have you lived at your current address:

    Mortgage Monthly/Rent Payment:

    Email:


    Company Information

    Legal Business Name:

    Operating Name(if Any):

    Address:

    City/Province:

    Postal Code:


    CorporationPartnershipProprietorship

    Number Of Employees:

    Years Of Driving Experience:

    Years In Business:

    Are there any shareholders/partners in the Corporation?

    YesNo

    Shareholder’s Name:

    1)    2)    3)    4)

    Percentage in Business:

    1)    2)    3)    4)

    Work Program or Own Authorities

    Hired as a Broker with, Company Hauling for or Own Authorities?

    Fleet Size - Information
    # of Trucks: # of Trailers:

    Other Equipment/Business Asset:

    Top 3 Clients – Contracted with

    1) 2) 3)

    Reason for Acquisition, Reason for Purchase:

    Contact Person for Insurance:

    Contact Phone Number/Insurance Broker:

    Refrences (** Must Provide Two References **)

    1 - Emergency Contact – Spouse/Parent Name:

    2 - Emergency Contact – Nearest Relatives Name:

    3 - Driving Experience Reference- Name:

    Contact Number:

    Contact Number:

    Contact Number:

    Personal Net Worth

    Assets Value

    Residence

    		 $

    Other Real Estate(s):

    		 $

    Personal Cash/Savings:

    		 $

    Personal Vehicle(s)

    		 $

    Investments/RRSP/TFSA/Gold:

    		 $

    Total Assets

    		 $
    Liabilities Balance

    Mortgage

    		 $

    Additional Mortgage/LOC:

    		 $

    Credit Cards(debts):

    		 $

    Leased/Financed Vehicle(s) Auto Loan:

    		 $

    Total Liabilities:

    		 $

    Net Worth (Total Assets - Total Liabilities)

    		$

    Business/Personal References

    “The personal information may be gathered and used by King Truck Loan & Leasing Inc., or its affiliates, its assignees and potential assignees, to provide products and to perform services as may be requested by you. We may also disclose your personal informationt third parties such as the manufacturer of your vehicle, credit reporting agencies, financial institutions of financing companies, your insurance agent or company and/or companies which provide or insure warranties relating to your vehicle. You are entitled to access this personal information that you provide and you may ask that it be updated and rectified. I acknowledge that the information, including personal information, may be processed and stored outside of Canada. We may also disclose your personal information where we are permitted by law to do so. By signing this document below, you have consented to these uses and disclosures.”

    Signature

    Date