Date:

Asked mortgage($):

Reason of the wanted mortgage:

Information on the property

Current address:

City:

Municipal evaluation:

Balance of the current mortgage($):

Market value ($):

Year of construction:

Municipal & school taxes($):

Personal information

First name:

Last name:

Current address:

App #:

City:

Province:

Zip code:

E-mail:

Phone (Residence):

Phone (Cellular):

Conditions

The following documents are required in the deposit of the mortgage filing:
• Statement of school and municipal tax of the current year
• ID card with photo (health insurance card and current driving licence)
• Proof of insurance of the property
• Statement of the balance of the current mortgage
• Certificate of location (if possible)
• Photos (inside and outside)

Agreement

I authorize GEF-Services Financiers Inc. to proceed to a credit check towards me and I agree to what you will receive and to what you will exchange regarding the personal information or the credit which concerns me (including my number of social insurance). Without limitation of the present content, I agree to what any agencies of evaluation of credit, financial institutions or other natural or legal person with whom I have or I suggest having a relation of financial nature, to give personal or credit information and to exchange the information of this type with theme.

I authorize GEF-Services Financiers Inc. to use the personal and/or credit information necessary for the purposes of the transaction. The present consent is valid for the duration necessary to the realization of the transaction.

Yes I accept