Client Profile "*" indicates required fields Step 1 of 6 16% Legal Name*Doing Business AsMain Email address Average Gross Monthly Revenue*Amount Requested:*in CAD1. Detailed explanation of your business and what you do.* 2. Specific details on the use of the funds*2A. Is this a replacement or addition to your fleet?2B. Please explain why you acquiring why you are acquiring this asset/these assets2C. Please explain the monetary effect this will have on your businessExamples: replacing rental expenses OR adding to service new business expected to value $20,000/month 3. Does your business own or rent the location you operate from?* Own Rent N/A 3A. Amount of Rent3A. Mortgage Balance3B. Approximate Property Value3C. Estimated Property Tax3D. Mortgage Payment3E. Mortgage Holder3A. Is your rent up to date? Yes No 3B. Please explain why rent is not up to date. 4. Description of current equipment held free and clear.Include Description, value and any debt on the equipment.5. Current value of receivables6. Current value of debts7. Description of debts and associated monthly costs8. Estimated operational costs (salaries, marketing, insurance, etc)9. Upcoming projects and expected revenue generation 10. Do you have any outstanding unsecured business loans? Yes No 10A. What are the balances11. Do you owe any outstanding taxes? Yes No 11A. Are you on a payment plan? Yes No 11B. Please provide the details 13. Do you own or rent your primary residence? Own Rent 13A. Amount of Rent13A. Mortgage Balance13B. Total value of any lines of credit associated with the property
