Broker Application

    ONLINE FINANCIAL BROKER, MORTGAGE BROKER OR AGENT APPLICATION

    Business Name (if Applicable):

    If not a registered business, Personal Name that you operate under:

    Mailing Address:

    City:

    Province:

    Postal Code:

    Main Telephone Number:

    Cell:

    Fax:

    Email:

    Website:

    Broker Type (Specialty):

    Business Age

    Number of Employees:

    First Name:

    Last Name:

    Home Address:

    Date of Birth:

    Number of Years In Industry:

    What product(s) would you like us to provide?

    LeaseLoanMortgageAccounts Receivable FinancingIn-House Vendor Financing

    Which product(s) do you NOT want us to offer?

    Is there any company/person you do NOT want us to contact?

    Can we contact the client directly to obtain additional credit information?

    Do you wish to obtain a fee for your referrals? If so, how much?

    How much lease/mortgage/loan volume would you refer to us per month?

    Which lease or finance companies do you currently use?

    Who referred you to Guardian Lending?

    Name of Guardian Lending specialist that assisted you?

    Is there anyone you know that may benefit from our services?

    ACKNOWLEDGEMENT:

    By digitally signing below (or clicking “Submit”) the Applicant and/or User confirms that the Business, Principals, Co-Applicant, Co-Lessee or Guarantor have consented to:

    • The collection, use and disclosure of Personal (or Business) Information for the purpose of credit adjudication by Guarding Lending Corp (hereinafter referred to as “GLC”) and/or its funders (lessors, banks, credit unions & insurance companies) in order to provide the applicant with the lease, loan, mortgage or financing requested.
    • You agree that GLC and/or its funders may obtain credit information including consumer/commercial reports from consumer/commercial reporting agencies, financial institutions and any other references, provided by the applicant in connection with this application. A facsimile or electronic signature shall be accepted as an original execution.

    Social Insurance Numbers if applicable shall be used as an aid to identify you with the consumer credit reporting agency and/or funders for credit history file matching purposes. GLC and/or its underwriters or funders may disclose Personal (or Business) Information in connection with the proposed application or financing to GLC subsidiary companies, funders, credit reporting agencies or other parties that the applicant may have financial dealings as well as GLC using said information to promote our services to you.

    Name:

    Date: (mm/dd/yy)