MWC INTERNATIONAL LEASING & FINANCING LTD.
CREDIT APPLICATION
PERSONAL OR GUARANTOR INFORMATION

If you are interested in purchasing a vehicle from the MWC Vehicle Database, enter the MWCID# here.

APPLICANT NAME HOME ADDRESS
FIRST NAME
MIDDLE NAME
LAST NAME
PHONE#
EMAIL
   
DATE OF BIRTH
SOCIAL INSURANCE #
CO-APPLICANT'S NAME
CO-APPLICANT'S
SOCIAL INSURANCE #
CO-APPLICANT'S EMPLOYER
STREET
CITY
PROV
POSTAL CODE
HOW LONG HAVE YOU
LIVED THERE?
DO YOU OWN YOUR HOME?
MONTHLY MORT. / RENT PAYMENT
PREVIOUS ADDRESS
(If at present address less than 3 years)		  
 

BUSINESS INFORMATION
HOW LONG HAVE YOU OWNED AND OPERATED? YEARS
NATURE OF BUSINESS
DO YOU OPERATE UNDER A BUSINESS NAME?
IF SO, WHAT NAME
WHO DO YOU HAUL FOR (NAME)
PHONE #
CONTACT
HOW LONG HAVE YOU WORKED THERE YEARS
DO YOU HAVE A CONTRACT?
TERM OF CONTRACT
RATE OF EARNINGS PER
WILL THE TRUCK BE TEAMED?
DO YOU HAUL HAZADOUS MATERIALS (PETROLEUM, ETC.)

PREVIOUS EMPLOYERS (IF AT PRESENT EMPLOYER LESS THEN 5 YEARS)
CITY PHONE# CONTACT
EMPLOYMENT DATES
FROM TO
1.
2.
3.

PERSONAL STATEMENT AS AT
ASSETS (WHAT YOU OWN)
CASH ON HAND
ACCOUNTS RECEIVABLE
INVESTMENTS (INCLUDE RETIREMENT PLANS)
INSURANCE - CASH SURRENDER VALUE
AUTOMOBILE(S)     provide details
YEAR MAKE MODEL
1.
2.
3.

EQUIPMENT    provide details
YEAR MAKE MODEL
1.
2.
3.
       
REAL ESTATE  
RESIDENCE (ABOVE ADDRESS)
PROPERTY VALUE
OTHER PROPERTIES    provide details  
1.
2.
3.
OTHER ASSETS    provide details  
1.
2.
3.
   
TOTALS (a)
LIABILITIES (WHAT YOU OWE)
ACCOUNTS PAYABLE
CREDIT CARDS
BANK ACCOUNT# BALANCE
1.
2.
3.
4.
TOTAL CREDIT CARDS
AUTOMOBILE LOANS
LENDER'S NAME PHONE# CONTACT
1.
2.
3.

LOANS EQUIPMENT
LENDER'S NAME PHONE# CONTACT
1.
2.
3.

REAL ESTATE MORTGAGES
MORTGAGE LENDER PHONE# CONTACT
1.
2.
3.

OTHER DEBTS AND LOANS    provide details		  
1.
2.
3.
   
TOTALS (b)
NET WORTH (a) LIEN (b)  
TOTAL
   
HAVE YOU EVER FILED FOR BANKRUPTCY ARE YOU A DEFENDANT IN ANY LEGAL ACTION

I/WE CERTIFY THE ABOVE INFORMATION IS CORRECT, AND BY SUBMITTING THIS APPLICATION I/WE CONSENT TO THE OBTAINING FROM ANY CREDIT REPORTING AGENCY OR CREDIT GRANTOR SUCH INFORMATION AS MWC LEASING & FINANCING LTD. MAY REQUIRE AT ANY TIME IN CONNECTION WITH CREDIT HEREBY APPLIED FOR, AND CONSENT TO THE DISCLOSURE AT ANY TIME OF ANY INFORMATION CONCERNING ME/US TO ANY CREDIT REPORTING AGENCY OR CREDIT GRANTOR WITH WHOM I/WE HAVE A FINANCIAL RELATIONSHIP.