Credit Application Form

Applicant Information
Full Name  
Home Address  
City  
Province  
Postal Code  
Home Phone  
Mobile Phone
Email
Date of Birth
Co-applicant Information
Full Name
Home Address
City
Province
Postal Code
Home Phone
Mobile Phone
Email
Date of Birth
Home/Mortgage Info
 my home
Home Value
Mortgage Balance
Bank References
Bank Name
Branch
Contact Name
# of Years
Transaction Details
Total requested lease amount
Term

Terms of disclosure

  • I confirm that the information I have provided in this application is true and complete.
  • I authorize Ontario Pianos Inc. to rely on and use this information in order to confirm my identity and evaluate my credit worthiness.
  • I agree that Ontario Pianos Inc., their affiliates, any third parties acting for them or on their behalf, or anyone to whom they must reasonably provide this information for the purposes identified above (hereinafter collectively “Ontario Pianos Inc. and affiliates”), may obtain a credit report or other credit information from any credit reporting agency, credit bureau or credit grantor.
  • I agree that Ontario Pianos Inc. and affiliates may hold, use, exchange and disclose such information, including the personal information contained herein and in any other report obtained for the purposes identified above.

Please enter your complete name to indicate you have read, understand and agree to the terms stated above.

I have read, understand and agree to the terms stated above.

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