Reverse Mortgage Assessment

What property type is the home you're considering a reverse mortgage for?* This field is required.Please click the choice that most closely resembles the property type

House (Detached)

House (Semi-Detached)

Townhouse

Condo

Duplex/Triplex/Quadplex

More Than 1 Property

Manufactured Home

Other

What is the estimated value of your home (in $)?eg. $200,000, $500,000, $1m. Please put 'do not know' if you are not sure. Click next when you're done.

What is your planned use for the reverse mortgage funds?* This field is required.Choose as many as you like - but at least one - then click on 'Next' in the bottom right

Major Purchase

Unexpected Major Expense

Travel

Health Care

Monthly Income

Home Renovation

Pay Debt

Estate Planning

Family Gifts

Investments

Other

Are you a member of CARP (Canadian Association of Retired Persons)?Please select one - if you're not sure, please select that

Yes

Not Sure

Do you have an existing mortgage or line of credit? * This field is required.Not including small balances or things that are paid off every month

YesNo

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.

Just a rough estimate in $

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.

Rough estimate in $ format - eg. $20,000

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.

YesNo

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.

Rough estimate in $ format - eg. $20,000

What is your approximate household annual income?* This field is required.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

Other

And can you give us an estimate of your credit score?* This field is required.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

What is the property address?* This field is required.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

Province

Postal Code

Country

First Name Parsed

What is your marital status?* This field is required.

Married

Widowed

Divorced

Single

Separated

Other

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

YesNo

Main applicant information* This field is required.Please complete for the person filling out this application. Press next in the bottom right when done.

Title

First Name

Last Name / Surname

Phone Number

Please enter your email

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

Second applicant informationPlease complete for your spouse or anyone else on title to the home. If you're married, we'll need this information even if they're not on the title. If there is no-one then leave this blank. Press next in the bottom right when done.

Title

First Name

Last Name / Surname

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

Reverse Mortgage Form Pixel

Reverse Mortgage Assessment