| Personal Information |
| First Name * |
|
| Last Name * |
|
| City of Residence * |
|
| Email * |
|
| Primary Phone No. * |
|
| Why can't you get a mortgage? * |
|
|
| How do you want us to help you? * |
|
|
| Marital Status * |
|
|
| Do you have a Co-signer? * |
|
|
| Property Information |
| City you want to buy in * |
|
| Province for your chosen city * |
|
|
| Type of Property * |
|
|
| No. of Bed Rooms * |
|
|
| No. of Washrooms * |
|
|
| Cash Flow Information |
| Price Range * |
|
|
| Tentative Move In Date * |
|
| Employment Status * |
|
|
| Years at current employment * |
|
|
| Employment Income/ Year (Before Taxes) * |
|
| Rental Income (If Any) |
|
| Child Alimony (If Receiving) |
|
| Any other Income |
|
| Expenses: Monthly Rent / Mortgage * |
|
| Expenses: Monthly Utilities * |
|
| Expenses: Child Alimony (If Any) * |
|
| Expenses:Car Loan payment (Monthly) * |
|
| Expenses:Any Other Payments * |
|
| Minimum Credit Card payment * |
|
| Total Credit Card unpaid balances ($$$) * |
|
| Available Deposit/Equity towards your house * |
|
|
| Co-signer 1 (If Applicable) |
| Co-signer 1- Employment Status |
|
|
| Co-signer 1- Yearly Income (Before Taxes) |
|
| Co-signer 1- All Other Income Sources (Monthly) |
|
| Co-signer 1- Total Montly Expenses |
|
| How is Co-signer 1 credit? |
|
|
| Co-signer 2 (If Applicable) |
| Co-signer 2- Employment Status |
|
|
| Co-signer 2- Yearly Income (Before Taxes) |
|
| Co-signer 2- All Other Income - Monthly(Gross) |
|
| Co-signer 2 - Total monthly Expenses |
|
| How is Co-signer 2 Credit? |
|
|
| Other Information |
| Breifly tell us about your situation * |
|
| How did you find us? |
|
|
Optional Information
|
| Check all that apply: |
|
|