Leasing Application Brillion Leasing – Everything you can Lease

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info@brillionleasing.com

Welcome to Brillion Leasing

Leasing Application

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Finance Type
Statement of Consent
I certify that the information provided by me is correct. I also understand that you will be checking with credit reporting agencies. I authorize an investigation of my credit and employment history and the release of information about my credit experience.

Please initial below to indicate that you have received a copy of our Privacy Notice and agree to all of the above.

YOUR CREDIT APPLICATION IS GOING THROUGH A SECURE WEBSITE AND YOUR IDENTITY IS SAFE
Initial Here

What we lease
What we lease*
Type*
Condition*
Year*
Make*
Model*
Trim*
Transmission*
Product Name*
Brands Name
Number of Products*
Down Payment
Description
Total Amount
Other Details

Personal Information
First Name*
Middle Name
Last Name*
Residence address*
Residence Phone*
Driver's License
Social Insurance
E-mail*
Male / Female*
Date of Birth*
Marital Status

Corporation Information
Business Name*
Business ID Number*
Business Address*
Business Ownership %*
City*
Province*
Postal Code*

Mortgage Information
Do you Rent or Own your home, or other?*
LandLord / Mortgage Holder
Rent / Mortgage Monthly Amount*
Mortgage Balance
Time at Current Residence Years*

Previous Residence (If less than 5 years at Current Residence...)
Address
City
Province
Postal Code
How long at Previous Residence Years

Banking Information
Name Of Bank
Account Types
Name Of Bank
Account Types

Employer Information
Occupation*
Employer Name*
Employer Address*
Employer City*
Employer Province
Employer Postal Code*
Employer Phone*
Salary (Annually Gross) $*
Time at Employer (Years)*
Type of Employment*
Other Income $*
Other Income Frequency

Additional Comments
Please include any information that you feel may help us process your application.

How did you hear about us
*
- Instagram
- Search engine
- Through reference
- Via Brillion Group

Address

Address

336 Bronte St. S, Unit 219, Milton ON L9T 5B7

Email

info@brillionleasing.com

Phone Number

647 782 6230