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1
What Kind Of Mortgage Help Are You Looking For Today?
*
This field is required.
Refinance or renew an existing mortgage
Get a mortgage for a home purchase
Get pre-approved for a mortgage
Take out a brand new mortgage on a home you own outright
Reverse mortgage help and advice
Other kind of mortgage help - not listed above
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2
What property type is the home you're considering a reverse mortgage for?
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House
Townhouse
Condo
Duplex/Triplex
Quadplex/Multiplex
More Than 1 Property
Manufactured Home
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3
What is the estimated value of your home (in $)?
*
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eg. $200,000, $500,000, $1m. Please put 'do not know' if you are not sure. Click next when you're done.
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4
What Is Your Planned Use For The Reverse Mortgage Funds?
Choose as many as you like - but at least one - then click on 'Next' in the bottom right
Major Purchase
Travel
Health Care
Income/Investment
Home Renovation
Pay Debt
Estate Planning
Family Gifts
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5
Are You A Member Of CARP (Canadian Association of Retired Persons)?
Please select one - if you're not sure, please select that
Yes
No
Not Sure
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6
Do you have an existing mortgage or line of credit?
Not including small balances or things that are paid off every month
YES
NO
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7
What is the balance you owe on your mortgage (roughly)?
No need to be exact - just an approximate amount will do. Leave this blank if there is none. Press next in the bottom right when done.
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8
What is the balance you owe on your line of credit (roughly)?
No need to be exact - just an approximate amount will do. Leave this blank if there is none. Press next in the bottom right when done.
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9
Do you have any major credit card or other debts?
*
This field is required.
For example, credit cards, car loans, overdue tax or other amounts due. Not including small balances paid off every month.
YES
NO
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10
What is the balance you owe across all your other debts (roughly)?
No need to be exact - just an approximate amount will do. Leave this blank if there is none. Press next in the bottom right when done.
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11
What is your approximate household annual income?
Household income = the total income of you and your spouse (if applicable). Annual income is less important in assessing a reverse mortgage, but it will help us determine if there are other, better mortgage options available.
$0 to $30,000
$30,000 to $60,000
$60,000 to $90,000
$100,000+
Not Sure
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12
And can you give us an estimate of your credit score?
Similarly to income, credit score is not as important for a reverse mortgage - but this will help us determine if there are other, better mortgage options available. Just an estimate - choose 'not sure' if you're not sure. If there is more than 1 person on title, choose the lowest of the applicant.
Good (eg. 680+)
Average (eg. 600-680)
Bad (eg. under 600)
Don't Know/Not Sure
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13
What is the property address?
Your property address and the location are vital to seeing how much reverse mortgage you qualify for. If you're looking for a reverse mortgage on more than one property, please use your principal residence - where you live for this address. Press next in the bottom right when done.
Street Address
Street Address Line 2
City/Town
Postal Code
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14
What is your marital status?
Married
Widowed
Divorced
Single
Separated
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15
Do You Have An Accepted Offer On A Property?
*
This field is required.
Choose yes if you already have an accepted purchase offer, or no if you are still actively looking or about to start looking for a place to buy.
YES
NO
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16
Is there a living second applicant - someone else who is also the homeowner or on title to the home?
*
This field is required.
eg. A relative or someone else who is on title or also listed as the homeowner
YES
NO
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17
What Kind Of Property Type Is This Mortgage For?
House
Condo
Townhouse
Duplex/Triplex
Quadplex/Multi
Multiple Properties
Other - Not Listed
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18
What Is The Property Used For?
It's my primary residence - I live there
It's a vacation home (eg. cottage)
Investment property (eg. rented out)
There are several properties with different uses
Other - not listed above
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19
What Is The Property Going To Be Used For?
As a primary residence - to live in it
As a vacation home (eg. cottage)
As an investment property (eg. rent it out)
Other - not listed above
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20
How Soon Are You Expecting To Buy?
As Soon As Possible
1 to 3 Months
3 to 6 Months
Longer Than 6 Months
Not sure
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21
How Soon Is The Closing Date?
If you don't have a closing date, go back a few questions and click 'no' to 'do you have an accepted offer'
30 Days Or Less
31 to 60 Days
61 to 90 Days
91 Days And Over
Not sure
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22
How Much Do You Have For A Down Payment?
Choose the closest amount, or select 'Other' and type in the percentage/amount
5%
10%
15%
20%
25%
30%
35%
Over 35%
Not Sure
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23
What Is Your Rough Budget To Buy A Home?
If you are not sure, please select the last one.
$0 to $300,000
$300,000 to $600,000
$600,000 to $1M
$1M to $1.5M
$1.5M to $2M
$2M+
Not Sure - Need To Discuss
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24
Mortgage Property Address
*
This field is required.
This is crucial information as the property address will impact what kind of mortgage rates are available for you. Hit 'Next' or the arrow in the bottom right when you're done.
Street Address - include the unit number if there is one eg. 123 High St - Unit 456
Town/City
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25
Is There More Than One Applicant For This Mortgage?
eg. Your partner, a co-buyer. This important information - as their credit score, income and employment will also be important in getting you the best rates.
YES
NO
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26
Referrer
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27
Are You A First-Time Home Buyer?
YES
NO/NOT SURE
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28
Are You And The Other Applicant(s) All First-Time Home Buyers?
This applies to everyone who will be on the mortgage.
YES
NO/NOT SURE
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29
Who Is Your Main Day To Day Bank?
Your main bank, if you have more than one. We can use this to compare their rates as one of your options. If yours is not listed, please choose 'other'.
TD
Scotiabank
CIBC
RBC
BMO
Tangerine
Simplii
Meridian
HSBC
Desjardins
Other
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30
Main Applicant Information
*
This field is required.
We are required by law (money laundering and fraud) to contact you before confirming your mortgage options.This is just a quick phone call and it is illegal for us to use your information for any other purposes. Hit 'Next' or the arrow in the bottom right when you're done.
First Name
Last Name
Please enter your email
Phone number - ideally your cell
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31
Main applicant date of birth - please enter as day-month-year (eg. 25-12-1950)?
*
This field is required.
This is necessary, as your date of birth drastically impacts how much reverse mortgage is available. Press next in the bottom right when done.
Format should be DD-MM-YYYY
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32
Ok - Let's Talk
*
This field is required.
For custom mortgage help (that isn't a straight forward purchase, pre-approval or refinance/renewal), it is better to have someone on our team reach out to you to discuss your situation. Please provide your contact information and someone will reach out to you very quickly to help you with your mortgage needs. Hit 'Next' or the arrow in the bottom right when you're done.
First Name
Last Name
Please enter your email
Phone number - ideally your cell
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33
Second Applicant Information
Hit 'Next' or the arrow in the bottom right when you're done.
First Name
Surname
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34
Second applicant date of birth - please enter as 'day-month-year' (eg. 25-06-1950)?
This is necessary, as their date of birth will also drastically impact how much reverse mortgage is available. Press submit in the bottom right when done.
Format should be DD-MM-YYYY
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35
First Name Parsed
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36
original
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37
lastpage
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38
ParseMortgageType
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39
ParseRealtorRequest
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40
Parse Email
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41
Parse Lead Names
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42
Parse Phone
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43
Parse Location
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44
Parse Address Line
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45
Last Name Parsed
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