The Missing Piece of the Puzzle

RESOLVE YOUR CASH FLOW ISSUES WITH A SIMPLE FINANCE BOUND LOAN

Funding Application

Please fill out the form as completely as possible. The more information you provide, the quicker we can process your application. All information submitted will be kept strictly confidential.

For Assistance with this application during business hours (8:00 am - 5:00 pm):

CALL 416-548-7874
EMAIL info@financebound.ca


PERSONAL INFORMATION

Application Completed by:


Are you currently bankrupt?

If you answered NO above, are you currently undergoing bankruptcy proceedings or a consumer proposal?

How much funding is desired?*

PERSONAL INJURY DETAILS

Tell us more about your personal injury:

Where you employed at the time you experienced your accident?

Did the accident occur while you were at work and in the course of your employment?

Are you currently employed?

LAWYER INFORMATION

We will contact your lawyer to briefly discuss your claim in order to evaluate your application.


CONSENT

By submitting this application you agree to the following:

I certify and declare that the information set out in this Application Form is true, accurate, and complete. I warrant and acknowledge that the contents of the Application will be utilized by Finance Bound in assessing risk, determining terms, and providing any loans. The data submitted will be the basis of and form part of any resulting loan offered by Finance Bound to me. I authorize and provide Finance Bound with the necessary consent to independently verify the accuracy of this information for the purpose of evaluating my application, including speaking with, and receiving documentation on my file from my lawyer. I consent to the collection, use and disclosure of my personal information by Finance Bound for the purposes of evaluating and considering my application for lending services.