This document is a business credit application for Protea Leasing Solutions Inc. It requests company information like legal business name, address, years in business, annual sales, number of employees, and principals' contact details. Equipment information is also requested such as make, model, year, price, and desired lease term. The applicant consents to Protea collecting and using this information to determine credit worthiness and authorizes Protea to obtain any required information and disclose application details to lenders or credit bureaus.

1. protealeasingsolutions@cogeco.ca
PROTEA Leasing Solutions Inc. Oakville, ONTARIO L6H 4M6
Tel: 905-582-6904
WWW.Protealeasingsolutions.ca
BUSINESS CREDIT APPLICATION
COMPANY INFORMATION
LEGAL BUSINESS NAME OPERATING AS
ADDRESS (NO P.O. BOX)
CITY PROVINCE POSTAL CODE
TELEPHONE FAX WEBSITE ADDRESS
BUSINESS DESCRIPTION
YEARS IN BUSINESS ANNUAL SALES $ # OF EMPLOYEES
SOLE PROPRIETOR ('X') OR PARTNERSHIP('X') OR CORPORATION ('X')
INCORPORATION / BUSINESS REGISTRATION DATE E-MAIL ADDRESS
PRINCIPALS, OWNERS, SHAREHOLDERS
1) LEGAL NAME 2) LEGAL NAME 3) LEGAL NAME
HOME ADDRESS HOME ADDRESS HOME ADDRESS
CITY, PROVINCE, POSTAL CITY, PROVINCE, POSTAL CITY, PROVINCE, POSTAL
SOCIAL INSURANCE # SOCIAL INSURANCE # SOCIAL INSURANCE #
HOME TELEPHONE HOME TELEPHONE HOME TELEPHONE
DATE OF BIRTH (MM/DD/YYYY) DATE OF BIRTH (MM/DD/YYYY) DATE OF BIRTH (MM/DD/YYYY)
% OWNERSHIP OF BUSINESS % OWNERSHIP OF BUSINESS % OWNERSHIP OF BUSINESS
JOB TITLE JOB TITLE JOB TITLE
EQUIPMENT INFORMATION
EQUIP. MAKE/MODEL/YEAR NEW ( ) OR USED ( )
VENDOR NAME
VENDOR ADDRESS
VENDOR CONTACT NAME PHONE____________________ FAX____________________EMAIL_________________________________
EQUIPMENT PRICE (NO TAX) $ DOWN PAYMENT $ DESIRED TERM (MONTHS)
PURPOSE FOR PURCHASE
REPLACEMENT EQUIPMENT IS THIS A SEASONAL BUSINESS? THE PRIMARY LOCATION OF THE EQUIPMENT WILL BE:
ADDITIONAL CAPACITY DO YOU OWN ANY OTHER BUSINESS?
NEW BUSINES/START-UP DO YOU HAVE OTHER LEASES?
IF YES, WITH WHOM:
CERTIFICATION AND CONSENT TO COLLECT, USE AND DISCLOSE INFORMATION
THE UNDERSIGNED CERTIFIES THAT THE INFROMATION GIVEN HEREIN IS TRUE AND CORRECT. WE CONSENT TO PROTEA LEASING SOLUTIONS INC. ("PROTEA") AND ITS ASSIGNS
COLLECTING AND USING THIS INFORMATION TO DETERMINE OUR CREDIT WORTHINESS. PPOTEA OR ITS ASSIGNS ARE HEREBY AUTHORISED TO OBTAIN, AND ANY SOURCE IS
AUTHORISED TO DISCLOSE, ANY INFORMATION PROTEA MAY REQUIRE AT ANY TIME RELATIVE TO THIS CREDIT APPLICATION FROM EACH SOURCE TO WHICH PROTEA MAY APPLY
AND EACH SUCH SOURCE IS HEREBY AUTHORISED TO PROVIDE PROTEA WITH SUCH INFORMATION. PROTEA IS FURTHERMORE AUTHORISED TO DISCLOSE IN RESPONSE TO DIRECT
INQUIRIES FROM LENDERS OR CREDIT BUREAUS, SUCH INFORMATION ON ANY LOANING ACCOUNT AS YOU CONSIDER APPROPRIATE AND WE AGREE TO INDEMNIFY PROTEA AGAINST
ANY AND ALL CLAIMS IN DAMAGES OR OTHERWISE ARISING FROM SUCH DISCLOSURE.
SIGNATURE: _______________________________________________________ Date: ___________________________________