Business Loan Application | Northaxis Capital

Section 01

Business details

Start with the legal identity of the business applying.

Business legal name *

Business phone *

Business email

Fax optional

Section 01

Legal / registered address

The address on your registration or articles of incorporation.

Legal / registered street address

City

Province / territory

Postal code

Section 01

Do you operate under a different name or address?

Most businesses do not. If your trade name and location match what you just entered, choose no.

Section 01

Operating / trade details

Fill in only what differs from your legal details.

Operating / trade name (if different)

Operating phone (if different)

Operating street address (no PO box)

Operating city

Province / territory

Postal code

Operating fax optional

Preferred mailing address

Legal addressOperating address

Section 02

Business profile

How the business is set up and how long it has been running.

Type of business *

Business Number (BN) *Your CRA Business Number, from a GST/HST or payroll notice.

Province of incorporation *

No. of locations

Business start date

Length of current ownership

Products / services sold

Section 02

Premises

Your rent or mortgage on the business location, and your lease dates if you lease.

Monthly business rent / mortgage

$

Lease start date (if applicable)

Lease end date

Section 02

Your funding request

Tell us how much you need and what it is for.

Requested loan amount *

$

Intended use of the loan

Section 02

Sales

Approximate figures are fine.

Average gross monthly sales *

$

Average non-card monthly sales

$

Sales not taken by credit or debit card.

Seasonal business?

YesNo

Peak sales: from month

To month

Section 02

Franchise

Is this business a franchise?

YesNo

Franchisor contact

Franchisor phone

Section 02

Existing financing

Existing debt does not disqualify you — it helps us match you to the right lender.

Used a cash advance before?

YesNo

Provider

When?

Current business lender(s), if any

Total business debt balance

$

Monthly debt payments

$

Section 03

Owner, officer or partner 1

The person authorized to sign for the business.

First name *

Last name *

Title / position

Ownership %

%

Date of birth

Personal credit scoreYour exact score, 300-900. An estimate is fine — lenders pull the real figure later.

Social insurance number *Used only to match your credit file. Lenders require it before they will review an application.

Driver's licence no. optional

Section 03

Owner 1 — address & contact

Residential street address

Housing

City

Province / territory

Postal code

Years at address

Phone

Mobile

Email *

Section 03

Is there a second owner, officer or partner?

Anyone with an ownership stake who should be on the application.

Section 03

Owner, officer or partner 2

First name

Last name

Title / position

Ownership %

%

Date of birth

Social insurance number *

Driver's licence no. optional

Residential street address

Housing

City

Province / territory

Postal code

Years at address

Phone

Mobile

Email

Section 04

Declaration & consent

I certify that the information I provide is accurate and that I am authorized to act for the applicant business. I authorize North Axis Capital to collect, use and share my identification, contact, business and financial information with prospective lenders and service providers involved in assessing and processing this loan application. Relevant information may be verified with the banks, existing lenders, landlords or franchisors identified in this application or supporting documents.

Credit: I consent to business credit reports and soft personal credit inquiries for this application. A lender must obtain my separate consent before a hard personal credit inquiry, which may affect my credit score. If provided, my SIN is used only to help match my credit file.

North Axis Capital acts as a loan broker. This application is not a loan agreement or a guarantee of approval. For privacy questions, access or corrections, or to withdraw consent, call 437-525-4210. Withdrawal is subject to legal or contractual limits and may prevent further processing. Each signer consents only for their own personal information.

Signing electronically here has the same effect as signing on paper. You will receive the completed PDF at the end.

Signature — applicant 1 *

Sign here with your finger or mouse

Printed name *

Date *

Section 04

Second applicant signature

Each signer consents only for their own personal information.

Signature — applicant 2

Sign here with your finger or mouse

Printed name

Date

Reference

Download your signed PDF

Email yourself a copy optional