Step 1
Full Legal Name *
Present Address *
City/Town *
Province/Territory *Select OneAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon
Postal Code *
Marital Status Select OneMarriedCommon LawSingleDivorcedSpouse not on titleNot my matrimonial home
S.I.N
Home Telephone *
Work Telephone
Cell
E-Mail *
First Mortgage Balance *
Estimated Value of Home *
Deposit Money Requested *
Step 2
Do you have a Co-Applicant? * YesNo
Co-Applicant - Full Legal Name
Co-Applicant Present Address
Co-Applicant City/Town
Co-Applicant Province/Territory Select OneAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon
Co-Applicant Postal Code
Co-Applicant Marital Status Select OneMarriedCommon LawSingleDivorcedSpouse not on titleNot my matrimonial home
Co-Applicant S.I.N
Co-Applicant Home Telephone
Co-Applicant Work Telephone
Co-Applicant Cell
Co-Applicant E-Mail
Step 3
Do you have a Lawyer? * YesNo
Name
Firm
Address
Province/Territory Select OneAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon
City/Town
Postal Code
Telephone
Fax
E-Mail
Step 4
Do you have a Realtor? * YesNo
Company
Step 5
Credit Card *Select OneVisaMastercardAmerican Express
Card Holder Name *
Card Number *
Expiry Date (Month/Year) *
Card Security Number (CVV) *
Step 6
How did you hear about us? Select OneInternetNewspaperMagazineRealtorMortgage CompanyLawyerFriendCo-Worker/ColleagueOther
Comments
By clicking on the button below entitled "Submit" you Authorize this application.
I, * hereby confirm that the above information, supplied by me is correct in every respect. Furthermore, I fully understand and agree with your refund policy, specifically that “No fees paid to the government, or to any agencies accepting money on behalf of the government, can be refunded under any circumstances. All fees and money paid by the applicant to Money 2 Close Inc. are fully earned once the application is submitted. No refunds are available once the application is submitted. If I decide to cancel my application, I will be entitled only to receive a refund for government fees that have not been paid to the government or its agents. Once government fees have been paid, no refund is possible.
I confirm the above application and electronically sign and authorize the charge of $59.95 to be processed on the above credit card, and I authorize Money 2 Close Inc. to process the application.
Step 7
Submit Application * (Full Name)