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Loan Application

Please fill out our application and press submit when complete. You will need to enter information in the required fields to be able to submit.
You can also print off the application (click here to download) and fax it to us at 780-665-4245.
If you do require any assistance or have questions regarding the application please call Matt at 780-433-5516

Loan Details

Purpose of the Mortgage:
Mortgage Type:
When do you want the money by?

Mortgage Amount Requested:
How long do you need the money:
Yes, the property is going to be in a corporate name
Yes, I have other properties I would like financed

Primary Applicant Information

Main Contact General Information

First Name:
Last Name:
Street Address:
City:
Province:
Postal Code:

Work Phone:
Cell Phone:
Home Phone:
Fax Number:
Email:
Marital Status:
Date of Birth:
SIN:

Estimated Net Worth

Employment

Current Employer:
Job Title:

Time at Job (YRs):
Annual Income:

Spouse Information

Spouse

Yes I would like to enter my spouse's information.

Property Information

Property Details

Use contact address

Street Address:

City:

Province:

Postal Code:

Estimated Value:
Occupancy Type:
Property Type:
Property Style:

Mortgage Details

Existing Mortgage Amount:

Who is your existing Lender/Bank:

Notes to the Lender

I accept the following terms

I/We warrant and confirm that the information given in the mortgage application form is true and complete and that I/we have not withheld or misrepresented any information. I/we understand that it is being used to determine my/our credit responsibility and to evaluate and respond to my/our request for mortgage financing. You are authorized to obtain any information you may require for these purposes from other sources (including, for example, credit bureaus) and each source is hereby authorized to provide you with such information. I/we also understand, acknowledge and agree that the information given in the mortgage application form, as well as other information you obtain or that is provided by me/us in relation to my/our application for financing, may be disclosed to potential mortgage lenders, individual private investors, title insurers, mortgage brokers, appraisers, lawyers, other service providers, organizations providing technological or other support services required in relation to this application and any other parties with whom I/we propose to have a financial relationship.

I/we further acknowledge and agree that each potential mortgage lender, individual private investor, title insurer, mortgage broker, appraiser, lawyer, other service provider, organization providing technological or other support services to whom you provide the mortgage application and/or my/our personal information is permitted to receive such application and other information and maintain records relating to me/us and my/our mortgage application and to hold, use , communicate and disclose personal information about me/us, including my/our social insurance number(SIN) if I/we provide it, and collect personal information from me/us, you and from third persons including credit bureaus, credit reporting and collection agencies, financial institutions, my/our past and present employers, creditors and tenants, my/our spouse or any other person who has information about me/us for the purposes of recording, evaluating and responding to my/our application for mortgage financing or related activities and I/we specifically consent to the release and disclosure of personal information by such persons to and among you and each potential mortgage lender, individual private investor, title insurer, mortgage broker, appraiser, lawyer, other service provider, organization providing technological or other support services.

Westpoint Capital Corporation is authorized to retain the application and credit information, whether or not the application is approved, for a minimum of 3 years.

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