Commercial Lease Application 1Personal Information2The Application Company InformationCompany Operating Name*Contact Name*Address* Street Address City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Email Telephone*Request a callback Cancel application and speak with one of our representatives instead. By checking this box you will skip the online application. A representative will contact you instead. Company Information (continued)Postal Code*CellularFaxType of Business*Farmer*SelectnoyesYears owned*Select0 Years0.5 Years1.0 Years1.5 Years2.0 Years2.5 Years3.0 Years3.5 Years4.0 Years4.5 Years5.0 Years5.5 Years6.0 Years6.5 Years7.0 Years7.5 Years8.0 Years8.5 Years9.0 Years9.5 Years10.0 Years10.5 Years11.0 Years11.5 Years12.0 Years12.5 Years13.0 Years13.5 Years14.0 Years14.5 Years15.0 Years15.5 Years16.0 Years16.5 Years17.0 Years17.5 Years18.0 Years18.5 Years19.0 Years19.5 Years20.0 Years20.5 Years21.0 Years21.5 Years22.0 Years22.5 Years23.0 Years23.5 Years24.0 Years24.5 Years25.0 Years25.5 Years26.0 Years26.5 Years27.0 Years27.5 Years28.0 Years28.5 Years29.0 Years29.5 Years30.0 Years30.5 Years31.0 Years31.5 Years32.0 Years32.5 Years33.0 Years33.5 Years34.0 Years34.5 Years35.0 Years35.5 Years36.0 Years36.5 Years37.0 Years37.5 Years38.0 Years38.5 Years39.0 Years39.5 Years40.0 Years40.5 Years41.0 Years41.5 Years42.0 Years42.5 Years43.0 Years43.5 Years44.0 Years44.5 Years45.0 Years45.5 Years46.0 Years46.5 Years47.0 Years47.5 Years48.0 Years48.5 Years49.0 Years49.5 Years50.0 YearsThe number of years you have owned the business.Previous EmploymentIf in business less than 2 years fill out previous employment information.Company*Type of Business*Position*Address*Length of Employment(indicate in years eg) 10 Years)Company Information (continued)Legal Structure Incorporated Partnership Proprietorship Farming LandYou indicated that you are a farmer. Please fill out land information.Do you own and/or rent land?* Own Rent Amount of land owned*Amount of land rented*Personal Information Personal address is the same as work address Name* First Middle Last Address* Street Address City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Telephone*CellularYears at current residence:*Select0 Years0.5 Years1.0 Years1.5 Years2.0 Years2.5 Years3.0 Years3.5 Years4.0 Years4.5 Years5.0 Years5.5 Years6.0 Years6.5 Years7.0 Years7.5 Years8.0 Years8.5 Years9.0 Years9.5 Years10.0 Years10.5 Years11.0 Years11.5 Years12.0 Years12.5 Years13.0 Years13.5 Years14.0 Years14.5 Years15.0 Years15.5 Years16.0 Years16.5 Years17.0 Years17.5 Years18.0 Years18.5 Years19.0 Years19.5 Years20.0 Years20.5 Years21.0 Years21.5 Years22.0 Years22.5 Years23.0 Years23.5 Years24.0 Years24.5 Years25.0 Years25.5 Years26.0 Years26.5 Years27.0 Years27.5 Years28.0 Years28.5 Years29.0 Years29.5 Years30.0 Years30.5 Years31.0 Years31.5 Years32.0 Years32.5 Years33.0 Years33.5 Years34.0 Years34.5 Years35.0 Years35.5 Years36.0 Years36.5 Years37.0 Years37.5 Years38.0 Years38.5 Years39.0 Years39.5 Years40.0 Years40.5 Years41.0 Years41.5 Years42.0 Years42.5 Years43.0 Years43.5 Years44.0 Years44.5 Years45.0 Years45.5 Years46.0 Years46.5 Years47.0 Years47.5 Years48.0 Years48.5 Years49.0 Years49.5 Years50.0 YearsPrevious Address InformationIf less than 2 years at current residence please fill out previous address information. Address* Address City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Since*(indicate the year eg) 1983)Social Insurance NumberDate of Birth* MM slash DD slash YYYY Marital Status Single Common Law Married Widowed Divorced HomeownerSelectYesNoValue of Real Estate ($)Mortgage Balance ($)Previous Bankruptcy Y/N?NoYesNumber of ApplicantsIs there 1 or 2 applicants?*1 applicant2 applicantsCo-ApplicantYou selected 2 applicants. Please fill out co-applicant information. Personal address is the same as work address Name* First Middle Last Address* Street Address City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Telephone*CellularYears at current residenceSocial Insurance NumberDate of Birth* MM slash DD slash YYYY Marital Status Single Common Law Married Widowed Divorced HomeownerSelectYesNoValue of Real Estate ($)Mortgage Balance ($)Previous Bankruptcy Y/N?NoYesDealer Information (Purchasing From)Vendor* Vendor Name Private Sale Still Shopping Name*ContactTelephoneEquipment DescriptionItem #1Quantity*Unit Price*Decription*(year, make, model) Add a second item Item #2QuantityUnit PriceDecription(year, make, model)Payment TermsLeased Amount ($)*Residual 10% 20% 30% Lease to Own Term Months 12 24 36 48 60 Payments Monthly Quarterly Semi-Annual Annual Seasonal If there is a comment you would like to leave to accompany your form submission, please click here. CommentsConsent*The undersigned certifies that the above information is true and correct. By signing or submitting below, I/we consent to Polaris Leasing Ltd. and/or its warranty obtaining from any Credit Reporting Agency or Credit Grantor with whom the undersigned has financial relations, any information it may require at any time in connection with the credit application hereby, and consent to its full disclosure at any time. I Agree CAPTCHA