New Customer Registration Form

Client Intake Form

Thank you for your interest!
Welcome

Thank you for choosing Co-Home Canada Inc. as your trusted partner in achieving co-ownership. Please complete this form to help us better understand your investment goals and preferences, so we can match you with like-minded investors and guide you on your journey to homeownership.
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
E-mail*
example@example.com
Current Status in Canada (Select One):*
Current Occupation:*
Investment Level (Select One):*
Which Province do you wish to invest in?*

Within GTA only (Ontario)OntarioAlbertaOpen to all options above
Investment Time Frame*

3 Years3 - 5 Years5 + yearsI am flexible
Are you open to co-owning with foreign investors (Non-Canadians)?*

YesNoMay be
Which of the following best describes your goals to co-own a home? [Select all that apply]*

I am looking for monthly rental income supportMy focus is primarily capital appreciation/gainsI do not wish to take mortgage due to religious reasonsI want to build long-term real estate equityOther
Do you currently own a home in Canada?*

YesNo
If you answered 'No' to the question above, please choose what best describes your situation? [Select all that apply]

As a Muslim, I do not wish to undertake a conventional mortgage & halal financing is very expensiveMy income level is lowI am unable to secure a mortgageI have a bad credit scoreOther
How soon do you plan to invest in co-ownership?*

As soon as possible3 - 6 MonthsWithin 1 yearOther
Would you require property management services?*

No, I would be able to actively manage it myselfYes, I would like the co-owners to jointly appoint someone to manage the shared propertyOpen to discussion
What type of property are you most interested in co-owning?*

Residential - Townhouse/Semi-Detatched/DetachedResidential - Multi Unit BuildingResidential - AnyHouse Flipping [Upgrade/Renovate to Resell]CommercialOther
Would you require legal consultancy or financial investment advice?*
How did you hear about us?*
Please share any specific preferences, concerns or goals you have regarding co-ownership.
I, the undersigned, acknowledge & agree with the following statement:*

The information provided in this form is accurate to the best of my knowledge and is submitted voluntarily.
By clicking the submit button below, I agree to the following terms & conditions:
- Completion of this form does not guarantee approval or acceptance into any co-ownership arrangement offered by Co-Home Canada Inc.
- Co-Home Canada Inc. does not provide financial, legal, or investment advice. Any decisions made based on services or consultations offered by Co-Home Canada Inc. are solely my responsibility.
- Co-Home Canada Inc. is not liable for any direct or indirect losses arising from my participation in co-ownership arrangements or use of its services.
- I consent to Co-Home Canada Inc. collecting, storing, and using the information provided in this form for the purposes of facilitating my co-ownership application, verifying my identity, and communicating with me regarding related opportunities or updates.
Date*

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Date
Signature*

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Client Intake Form

Welcome