Consumer Lease Application
PERSONAL INFORMATION
Applicant Surname
Given
Date of Birth
Marital Status
Spouse Surname
Given
Date of Birth
# of Dependents
SIN Application
SIN Spouse
D/L #
Address
How Long
Phone
Previous Address
How Long
Applicant Employer
Position/Dept.
Phone
Emp. How Long
Address
Contact
Phone
Previous Employer
Phone
How Long
Spouse Employer
Phone
How Long
Nearest relative and address
Phone
Relationship
Close Personal Friend & Address
Phone
Landlord
Phone
Bank Name
Branch
LEASE REQUEST
MONTHLY INCOME
New
Used
Vehicle
Income Source
Gross
Net
Equipment Value
Deposit
Income Source
Gross
Net
Term
Payment
Residual
Income Source
Gross
Net
Options/Packages
Income Source
Gross
Net
Options/Packages
Total
Total Gross
Total Net
NET WORTH STATEMENT
Assets
Value
Liabilities
Owing
Terms/Month
Real Property
Value
1st Mortgage
Owing
Terms/Month
Real Property
Value
2nd Mortgage
Owing
Terms/Month
Auto
Value
Loans/LOC
Owing
Terms/Month
Auto
Value
Loans/LOC
Owing
Terms/Month
Auto
Value
Loans/LOC
Owing
Terms/Month
Other
Value
Credit Cards
Owing
Terms/Month
Other
Value
Credit Cards
Owing
Terms/Month
Other
Value
Credit Cards
Owing
Terms/Month
Other
Value
Credit Cards
Owing
Terms/Month
TOTAL
TOTAL
TOTAL
NET WORTH
