Mortgage Prequalification Form - Amansad Financial Services

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:

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*

Do You have a Copy of the Will?*

Yes
No

Address of Property to be Financed*

Street Address Address Line 2 City Province Postal Code

Location of Property*

City Province

Location of the Properties to be Financed:*

Property Type*

Property Type (Select All That Apply):*

What type of loan are you seeking? (check all that apply)

Select All
Merchant Cash Advance
Standard Business Loan
Operating Line of Credit

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:*

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PREQUALIFICATION FORM

Now REMEMBER, completing this form does NOT give us permission to check your credit.

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