Loan Application

Loans to individuals

Please fill out the following on-line loan application forms for us to examine your loan request.

If you prefer, you can download, print, fill out, scan and return the forms at info@lasedac.ca.

Name of financial institution	Account type	Account no	Balance

Name of financial institution	Investment type	Nominal value	Maturity date	Current value

Name of financial institution	Investment type	Nominal value	Maturity date	Current value

Description	Brand	Model	Year	Value

Address	Municipal evaluation	Insurance payment	Annual taxes	Current value

1Borrower’s identification

Name of financial institution	Purpose	Limit authorized	Payment terms	Balance

Name of financial institution	Purpose	Limit authorized	Payment terms	Balance

Name of creditor	Purpose	Limit authorized	Payment terms	Balance

Nature	For the benefit of	Monthly payment	Amount