Request for Extension of Claim Submission Date

Note:
  1. "Capital Leasing Regulations" means the Canada Small Business Financing (Establishment and Operation of Capital Leasing Pilot Project) Regulations.
  2. To be used by lessors to request an extension beyond the prescribed 36 months period or a previously authorized extension.
  3. The request must be submitted before the expiration of 36 months following the date specified in the notice of default or before the previously authorized extension.

Lessor

  • Lessor's Name, Address and postal code  
  • Industry Canada Identification No.

Information on Capital Lease

  • Lessee's Name  
  • Industry Canada Capital Lease Registration No.  
  • Date Capital Lease Entered In (YYYY/MM/DD)  
  • Total Financing Amount of Capital Lease  
  • Date of compliance specified in Notice of Default (YYYY/MM/DD)  
  • State reasons for default, remedial action taken and / or proposed and reason for requesting an extension.  
  • List details of security, guarantees or suretyships held together for the capital lease with estimated realization proceeds and costs.  
  • The lessor requests that the Claim for Loss Submission Date be extended to: (YYYY/MM/DD)  
  • Name and Title of Responsible Officer of the Lessor  
  • Signature  
  • Date (YYYY/MM/DD)  
  • Telephone No.  
  • Fax No.  
  • Email Address

Authorization by the Minister

  • Based on the information contained herein, the Claim for Loss Submission Date is extended to: (YYYY/MM/DD)  
  • Name and Title  
  • Signature  
  • Date (YYYY/MM/DD)

Note:

  1. The Minister's authorization of the extended Claim for Loss Submission Date in no way provides or implies concurrence with any action taken or proposed by the lessor.
  2. The Minister is not liable to pay any loss with respect to this capital lease unless the lessor has complied with the requirements of the Capital Leasing Regulations.

Forward to:

Capital Leasing Pilot project
Canada Small Business Financing Program
235 Queen Street
Ottawa, Ontario K1A 0H5
Telephone: 613-954-5540
Fax: 613-952-0290
Email: csbfa-lfpec@ic.gc.ca