PREQUALIFICATION FORM
Now REMEMBER, completing this form does NOT give us permission to check your credit.
"
*
" indicates required fields
Step
1
of
2
50%
Full Name(s)
*
Email
*
Phone
*
Type of Loan Required:
*
Type of Loan Required:
Purchase (Property Selected)
Purchase (Property Not Selected)
Refinance (1st Mortgage)
Refinance (2nd Mortgage)
Equity Take Out
Construction
Blanket (Multiple Properties)
Business Funding
Secured Loan
Secured Settlement Loan
Secured Inheritance Loan
Purchase Price:
*
Estimated Property Value:
*
Budgeted Purchase Price:
*
Property Value:
*
Estimated Property Value When Completed:
*
Estimated Combined Property Values:
*
Mortgage Balance(s):
*
Combined Mortgage Balances:
*
Type of Claim:
Motor Vehicle Accident
Slip & Fall
Long Term Disability
Sexual Abuse
Product Liability
Inheritance/Estate Litigation
Divorce Settlement
Other
Requested Loan Amount:
*
Estimated Settlement Amount:
*
Lawyer Contact Info:*
Law Firm Name
*
Lawyer Name
*
Estate Information:
Name of Deceased
*
Name of Estate Executor
*
Name of Estate Lawyer
*
Name of Law Firm
*
Status of th Estate
*
Pre-Probate
Awaiting Probate
Post Probate
Other
I don't know
Do You have a Copy of the Will?
*
Yes
No
Address of Property to be Financed
*
Street Address
Address Line 2
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
Location of Property
*
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Location of the Properties to be Financed:
*
Property Type
*
Property Type
Residential Home
Duplex/Townhouse
Condo Apartment
Land
Commercial
Property Type (Select All That Apply):
*
Residential Home
Duplex/Townhouse
Condo Apartment
Land
Commercial
What type of loan are you seeking? (check all that apply)
Merchant Cash Advance
Standard Business Loan
Operating Line of Credit
Select All
Legal Business Name
*
Trade Name (If applicable)
Business Set up
*
Sole Proprietorship
Limited Company
Incorporated
Nature Business Industry?
*
Website Address (If available)
Length of Time in Business
*
Average Monthly Gross Revenue
*
Does the business have any existing loans, lines of credit or cash advances?
*
Yes
No
How Much Capital is Required?
*
Has your ever filed for bankruptcy or a consumer proposal?
*
Do you own or rent your home you live in?
*
How many properties do you own?
*
Are you self-employed?
*
Estimated Inheritance Amount:
*
What are the funds needed for?
*
How did you hear about us:
*
How did you hear about us:
Online
Referral
Repeat
Email
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TF: 1(877)756-1119
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