Mortgage Request
Client Full Name
*
Property Location
*
City and Province
Property Address (optional)
Street Address
Postal Code
Property Type
*
Detached
Duplex
Condo
Townhouse
Commercial
Other
Occupancy
Owner-Occupied
Rental
2nd Home
Mortgage Purpose
*
Purchase
Refinance/ETO
Mortgage Type Requested
*
First
Second
Third
Other
Select with Drop down
Mortgage Amount Requested
*
Mortgage Remaining on Title
Approx Balance
Current Position
Lender
Mortgage Being Paid Out
Approx Balance
Current Position
Lender
Approximate Property Value
*
Approximate Total LTV
*
Appraisal Completed
Yes
No
If Yes company and date completed
Expected Rate/Fees
Rate Range
Broker (Your) Fee
Drake Fee/Lender
Tell us the story?
*
What is the exit strategy?
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Upload Docs
Application, Appraisal, Bureau etc
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Requested By
*
First Name
Last Name
Company
E-mail
*
Phone Number
*
-
Area Code
Phone Number
Submit Mortgage Request
Peter Pasula
peter@drakefinancial.com
Cell: (604)649-0419
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