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3300 Gregoire Rd.
Russell, Ontario K4R-1E5

613-725-6466

contact@financer.ca
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613-725-6466

CALL US TODAY: 613-725-6466

BUSINESS LOAN

Business Legal Name: Business Legal Name

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Doing Business As Name (If Different): Doing Business As

Business Address (Full): Complete Business Address

Business Phone Number: Business Phone Number

Years In Business Years In Business

Years of Ownership: Years of Ownership

Years At Location: Years at Location

Current Credit Card Merchant: Current Credit Card Merchant Name

Monthly Gross Sales: Monthly Gross Sales

Business Location Rented or Owned?:

Rented

Owned

Website and Contact Email Website and Contact Email

What Does You Business Do? Product or Service Your Business Offers

Monthly Rent/Mortgage with Expiry: Monthly Rent/Mortgage and when it Expires

Business Loan Size You Are Looking For: Loan Amount you are Seeking For

Owner Full Name: Owner Name

Owner Title Title of Owner

Ownership % (Needs to be 100% or an additional Owner is Required): Ownership %

Owner Home Address: Home Address of Owner

Owner Home Phone Number: Home Phone # of Owner

Owner Mobile Phone Number: Mobile Phone # of Owner

Years at Address (Less then 3 Years Requires Another Location): Owners Years at Address

Owner Date of Birth: Owner Date of Birth

Owner Personal Email: Owners Personal Email

Emergency Contact Info (Name, #, Relation): Emergency Contact Info

Owners Primary Residence Owned/Rented:

Rented

Owned

Owner Property Value & Mortgage Balance: Property Value and Mortgage Balance

Owner Vehicle Description (If Leased): Enter Text

Landlord Business Name (If Required): Enter Text

Landlord Contact Name (If Required): Landlord Contact Name

Landlord Address (If Required): Landlord Address

Landlord Phone Number (If Required): Landlord Phone #

Supplier Info #1 (If Required): Business Name, Contact Name, Phone #

Supplier Info #2 (If Required): Business Name, Contact Name, Phone #

Supplier Info #3 (If Required): Business Name, Contact Name, Phone #

Equipment Info #1 (If Leased): Description (Year/Make/Model/Vin# or SN)KM's or HoursVendor/Seller Business NameVendor Contact Name and NumberTerm (Months)Price

Equipment Info #2 (If Leased): Description (Year/Make/Model/Vin# or SN)KM's or HoursVendor/Seller Business NameVendor Contact Name and NumberTerm (Months)Price

Equipment Info #3 (If Leased): Description (Year/Make/Model/Vin# or SN)KM's or HoursVendor/Seller Business NameVendor Contact Name and NumberTerm (Months)Price

Additional Notes: Additional Notes, Such As Second Owners Information.

Note: For Loans $80,000 and Less, 6 Months Bank Statements Required. For Loans Over $80,000 2 Years Audited Financials Required.

Jack Fagan, CPMB

Mortgage Broker, #M08001939

Canadian Mortgage Brokers

Mortgage Architects, Brokerage #10121

"Independently Owned and Operated"

3300 Gregoire Road, Russell, ON. K4R-1E5

Phone: 613.321.7290 Cell: 613.725.6466

FINANCER.CA

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Mark Fagan

Mortgage Agent, #M19000047

Canadian Mortgage Brokers

Mortgage Architects, Brokerage #10121

"Independently Owned and Operated"

3300 Gregoire Road, Russell, ON. K4R-1E5

Phone: 613.321.7290 Cell: 613.715.3285

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