Capital Express Full ApplicationUse this form to submit a complete application to Capital Express. The PropertyProperty address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Or you the owner of this property or do you wish to buy it?*Iam the ownerI wish to buy itWhat is the market value of the property?*What is the municipal value?*Do you currently have a mortgage on that property?*YesNoWhat is the current balance you owe on the property?*What is the renewal date of the loan? Date Format: MM slash DD slash YYYY What is the reason you want to mortgage the property? To pay off debt To renovate To Fix and Flip To sell at a good price To clear a 60-day notice To pay off personal taxes To pay off property taxes To invest in another project To pay off a legal hypotec Other (Check all that applies)What is the purchase price?*What will be the down payment?*Why do you want to mortgage this property?* To flip it Bad Credit Hard to prove my income I am a non-resident I am a new immigrant (Check all that applies)How will the property be used?*The owner will occupy the propertyOwner + tenants100% TenantsSecond homeOtherProperty type*Single-familyTownhousePlex (Up to 6-Plex)Plex (More than 6 Plex)CondoWhat are the annual municipal and school taxes?*What are the annual condo fees?*Are you looking for a*1st Mortgage?2nd Mortgage?I don't knowHow long do you think you will be needing a private loan?*6 to 24 months, until I rebuild my credit and can qualify for a bank loan6 to 24 months, until I can increase my revenue and can qualify for a bank loan6 to 24 months, until I can sell the property at a good pricewithin 12 months, until I can find a co-borrower and qualify for a bank loan.I don't see how I can qualify for a bank loan in the next 3 to 5 yearsI don't knowAbout the BorrowerNumber of borrowers*123 +Are you self-employed?*YesNoWhat is the name of your current employer?*Since when?* Date Format: MM slash DD slash YYYY What is your position?*Type of employment*Full timePart timeSeasonalGross income (annual)*(Taxes and other deductions included)Do you have other sources of income?*YesNoFrom where?*What is the sum of all other revenues?*Besides this one, do you own another property?*YesNoWhat is the market value of this property?*What is the full address of that property?* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code What is the balance of your loans on this property?*What are your monthly payments for your mortgage?*What are the annual municipal and school taxes?*What are the annual condo fees?(If applicable)If this property brings a revenue, enter the annual amount here:Do you own any other property besides the ones already mentionned?*YesNoTotal value of your assets*RRSP, Cash, Certificates, Investments, Life Insurance with buyback, Vehicules and other...Do you know your credit score?*Less than 500Between 500-550Between 551-600Between 601-650Between 651-700Between 701-750More than 750I don't knowIdentification and DebtCapital Express offers to give you a FREE credit report. If you would like to obtain one, fill in the information below and provide your authorization. Primary Borrower* First Last Date of birth Date Format: MM slash DD slash YYYY Email* Mobile number*Residential phone numberWork phone numberYour current address Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Status*SingleCommon lawMarriedSeparatedDivorcedWidowerOtherNombre of dependents*Social Insurance NumberIf you owe taxes to the provincial or Federal, provide amount:Do you pay alimony? If so, provide annual amountI autohorize Capital Express to pull my credit report in order to evaluate my eligibility to receive a mortgage loan I authorizeInformations 2nd BorrowerAre you self-employed?*YesNoWhat is the name of your current employer?*Since when?* Date Format: MM slash DD slash YYYY What is your position?*Type of employment*Full timePart timeSeasonalGross income (annual)*(Taxes and other deductions included)Do you have other sources of income?*YesNoFrom where?*What is the sum of all other revenues?*Besides this one, do you own another property?*YesNoWhat is the market value of this property?*What is the full address of that property?* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code What is the balance of your loans on this property?*What are your monthly payments for your mortgage?*What are the annual municipal and school taxes?*What are the annual condo fees?(If applicable)If this property brings a revenue, enter the annual amount here:Do you own any other property besides the ones already mentionned?*YesNoTotal value of your assets*RRSP, Cash, Certificates, Investments, Life Insurance with buyback, Vehicules and other...Do you know your credit score?*Less than 500Between 500-550Between 551-600Between 601-650Between 651-700Between 701-750More than 750I don't knowIdentification and DebtCapital Express offers to give you a FREE credit report. If you would like to obtain one, fill in the information below and provide your authorization. Co-Borrower (2)* First Last Date of birth Date Format: MM slash DD slash YYYY Email* Mobile number*Residential phone numberWork phone numberYour current address Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Status*SingleCommon lawMarriedSeparatedDivorcedWidowerOtherNombre of dependents*Social Insurance NumberIf you owe taxes to the provincial or Federal, provide amount:Do you pay alimony? If so, provide annual amountI autohorize Capital Express to pull my credit report in order to evaluate my eligibility to receive a mortgage loan I authorizeInformations 3rd BorrowerAre you self-employed?*YesNoWhat is the name of your current employer?*Since when?* Date Format: MM slash DD slash YYYY What is your position?*Type of employment*Full timePart timeSeasonalGross income (annual)*(Taxes and other deductions included)Do you have other sources of income?*YesNoFrom where?*What is the sum of all other revenues?*Besides this one, do you own another property?*YesNoWhat is the market value of this property?*What is the full address of that property?* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code What is the balance of your loans on this property?*What are your monthly payments for your mortgage?*What are the annual municipal and school taxes?*What are the annual condo fees?(If applicable)If this property brings a revenue, enter the annual amount here:Do you own any other property besides the ones already mentionned?*YesNoTotal value of your assets*RRSP, Cash, Certificates, Investments, Life Insurance with buyback, Vehicules and other...Do you know your credit score?*Less than 500Between 500-550Between 551-600Between 601-650Between 651-700Between 701-750More than 750I don't knowIdentification and DebtCapital Express offers to give you a FREE credit report. If you would like to obtain one, fill in the information below and provide your authorization. Co-Borrower (3)* First Last Date of birth Date Format: MM slash DD slash YYYY Email* Mobile number*Residential phone numberWork phone numberYour current address Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Status*SingleCommon lawMarriedSeparatedDivorcedWidowerOtherNombre of dependents*Social Insurance NumberIf you owe taxes to the provincial or Federal, provide amount:Do you pay alimony? If so, provide annual amountI autohorize Capital Express to pull my credit report in order to evaluate my eligibility to receive a mortgage loan I authorize Δ