RETURN FAX NO. (416) 362-6577 Personal Credit Application

APPLICANT INFORMATION
Mr., Ms., ect. / Last Name / First Name / Middle Name / Date of Birth ( M/D/Y ) / S.I.N
Present Address / City / Province / Postal Code / How Long
Yrs. Mos.
Previous Address ( If less than 3 years ) / City / Province / Postal Code / How Long
Yrs. Mos.
Residence Telephone No. / Fax No. / E-mail Address
Employer / Business Name / Address / Occupation / Business Telephone No. / Years of Service
Yrs. Mos.
Annual Gross Income / Other Annual Income / Source of Other Income / Total Annual Income
$ / $ / $
Are You Self Employed Yes No / If Yes, Please Provide Accountant’s Name and Telephone Number
Previous Employer / Business Name / Address / Occupation / Business Telephone No. / Years of Service
Yrs. Mos.
Personal Reference ( not living with you ) / Address / Telephone No. / Relationship
CO-APPLICANT INFORMATION
Mr., Ms., ect. / Last Name / First Name / Middle Name / Date of Birth ( M/D/Y ) / S.I.N
Present Address / City / Province / Postal Code / How Long
Yrs. Mos.
Residence Telephone No. / Fax No. / E-mail Address
Employer / Business Name / Address / Occupation / Business Telephone No. / Years of Service
Yrs. Mos.
Annual Gross Income / Other Annual Income / Source of Other Income / Total Annual Income
$ / $ / $
Previous Employer / Business Name / Address / Occupation / Business Telephone No. / Years of Service
Yrs. Mos.
FINANCIAL INFORMATION
Residential Status ( circle one ) / Rent / Own / Lives with Parents Relatives / Friends
Lien holder or Landlord Name / Telephone No. / Approximate Value ( If owned ) / Monthly Payment / Balance Owing
$ / $ / $
Other Assets / Approximate Value
$
Other Assets / Approximate Value
$
Bank Name / Bank Address / Telephone No.
Previous Leased / Financed Vehicle / Name of Leasing or Financing Company / Monthly Payment / Balance Owing
$ / $
Other Creditors ( e.g. Credit Cards / Loans ) / Account Number / Monthly Payment / Balance Owing
$ / $
$ / $
$ / $
Have You Ever Filed Bankruptcy? / Have You Ever Had a Vehicle Repossessed? / Have You Ever Obtained Credit Under a Different Name?
DRIVER INFORMATION
Vehicle Driver(s) / Driver’s License Number(s) / Expiry Date / Date of Birth / % of Use
(1.)
(2.)
Insurance Company / Insurance Agent’s Name / Policy No. / Telephone No. / Fax No.
ACKNOWLEDGEMENT BY APPLICANTS (S) AND CONSENT TO CREDIT INVESTIGATION / CHECK

I certify that the above information is correct.

I am applying for a Lease or Loan from Phase II Auto Leasing Inc., for the vehicle described in the attached offer to lease or bill of sale. I acknowledge that, if this application is approved, Phase II Auto Leasing Inc., may assign the contract to a outside lessor or financial institute, or its agent. I understand that the lease or loan is a separate transaction from the vehicle purchase or vehicle acquirement and that my obligation to make payments will not be affected by any dispute that may arise between myself and the retailer of the vehicle. I irrevocably authorize and direct Phase II Auto Leasing Inc., or their outside lessor or financial institute to pay the amount to be financed or leased to the retailer, if and when my lease or loan is approved.

PHASE II AUTO LEASING INC., MAY FROM TIME TO TIME GIVE ANY CREDIT AND OTHER INFORMATION ABOUT ME, INCLUDING ANY INFORMATION ON THIS FORM TO, OR RECEIVE SUCH INFORMATION FROM: (A) ANY CREDIT BUREAU OR REPORTING AGENCY; (B) ANY PERSON WITH WHOM I HAVE OR PROPOSE TO HAVE FINANCIAL DEALINGS; AND (C) ANY PERSON IN CONNECTION WITH ANY DEALINGS I HAVE OR PROPOSE TO HAVE WITH PHASE II AUTO LEASING INC., AND ANY SUCH INFORMATION MAY BE TRANSMITTED VIA THE INTERNET OR ANY OTHER FORM OF TRANSMISSION.

I agree that Phase II Auto Leasing Inc. or its agent may use that information to establish and maintain my relationship with Phase II Auto Leasing Inc. and to offer any services as permitted by law.

Date / Applicant Signature / Co-applicant Signature