Take A Short, 90 Second Reverse Mortgage Assessment

1

90 Second Free Reverse Mortgage Assessment* This field is required.Please click the choice that most closely resembles the property type - if you have more than one home, choose your main residence.

House

Townhouse

Apartment Condo

Other

2

What is the approximate value of your home?* This field is required.e.g. $600,000 or Million or Unsure. Then hit next.

3

What is the planned use for the mortgage funds?Choose more than one if applicable

Pay Off Debts

Major Purchase

Additional Monthly Income

Other

4

How much are you hoping to get? Generally 55% of the appraised value is the maximum. If you don't know, just hit next.

5

How would you like to receive the funds?

Lump Sum

Lump Sum + Monthly Payments

Monthly Payments Only

Unsure

6

Do you have an existing mortgage, or line of credit - HELOC?* This field is required.

Yes

No

7

What is the approximate balance of the mortgage?

8

What is the approximate amount you owe on your line of credit, if any?

9

What is the address of the home you'd like a reverse mortgage on?* This field is required.Your property address is import for us to determine which reverse mortgage lender is the best fit for you. Some only offer reverse mortgages in select provinces. Press next in the bottom right or hit Enter when done.

Street Address

Street Address Line 2

City

State / Province

Postal Code

Country

11

Is there a second applicant or anyone else on title? Relative?

Yes

No

12

Main Applicant Information* This field is required.

First Name

Last Name

Email Address:

Phone Number:

Your Age

13

Second Applicant Information

First Name

Last Name

Their Age