Finance Application | Dan R Equipment 613-774-1616

Financing

For all your equipment financing needs, Dan R Equipment has teamed up with AGCO Finance, AGRICREDIT and Farm Credit Finance to provide customers with the best available financing in the market. We offer competitive rates, flexible payment terms, fast and easy credit approval process, and programs tailored to meet your cash flow needs.

Stop by your local Dan R Equipment location and let our sales staff find you the equipment and financing program that best matches your operating needs!

UNIT INFORMATION

Please describe the item you wish to purchase:

PERSONAL INFORMATION

Title: Mr Mrs Miss Ms

* First Name:

Middle Name:

* Last Name:

* SIN#:

* Date of Birth:

* Home phone #:

* Physical Address:

* City:

* Province:

Street Address / Land Location (If Different From Above)

* Postal code:

Amount Owing On Mortgage

$

Monthly Mortgage/Rent Payment

$

* Mortgage holder/Landlord:

* At Residence Since:

* Drivers license:

Drivers License expiry:

* Residence Type(s): Own Rent Other

Email address for follow up contact:

Marital Status:

Value Of House

$

PREVIOUS ADDRESS INFORMATION (IF LESS THAN 2 YEARS)

Previous Address:

City:

Province:

Postal code:

* Residence Type(s): Own Rent Other

At Residence Since:

EMPLOYMENT INFORMATION

* Employer Name:

* Occupation:

* Employment Start Date:

* Employer Address:

* Gross Monthly Income:

$

Other Annual Employment Income:

$

Describe Other Income:

* Employer Phone Number:

PREVIOUS EMPLOYMENT INFORMATION (IF LESS THAN 2 YEARS)

Employer Name:

Occupation:

Employment Start Date:

Employer Address:

Employer Phone Number:

Privacy Policy

By submitting this application form, you certify that the information you have provided herein is true and correct to the best of your knowledge. You also authorize the Bank/Dealer to conduct a personal investigation, and by submitting this, you accept as notice in writing of and authorize the obtaining of any information required that may be relating to this application, from any source to whom the Bank/Dealer may apply and each source is authorized to provide the financial institution with information. In addition, you authorize the Bank/Dealer to disclose, in response to direct inquiries from any other lender or credit bureau, any information concerning your loan and account that the Bank/Dealer considers appropriate.

* Signature (Re-Type your full name)

Send a copy to my Email Address

Monday - Friday	8:00AM - 5:00PM
Saturday	8:00AM - 12:00PM
Sunday	Closed

Monday	8:00AM - 5:00PM
Tuesday	8:00AM - 5:00PM
Wednesday	8:00AM - 5:00PM
Thursday	8:00AM - 5:00PM
Friday	8:00AM - 5:00PM
Saturday	8:00AM - 12:00PM
Sunday	Closed

Monday - Friday	8:00AM - 5:00PM
Saturday	8:00AM - 12:00PM
Sunday	Closed
Dan R Equipment is closed on all stat holidays.

(613) 774-1616

UNIT INFORMATION

PERSONAL INFORMATION

PREVIOUS ADDRESS INFORMATION (IF LESS THAN 2 YEARS)

EMPLOYMENT INFORMATION

PREVIOUS EMPLOYMENT INFORMATION (IF LESS THAN 2 YEARS)

Privacy Policy

Dan R Equipment

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