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Online Application

    Agent Name (Required)

    Amount Requested (Required)

    Purpose of Loan (Required)

    Applicant Information

    First Name (Required)

    Last Name (Required)

    Contact Phone Number (Required)

    Email Address (Required)

    Address (Required)

    City (Required)

    Province (Required)

    Postal Code (Required)

    Applicant Income Information

    Type of Income (Required)

    Total Annual Income (Required)

    Co-Applicant Information

    First Name

    Last Name

    Contact Phone Number

    Address

    City

    Province

    Postal Code

    Co-Applicant Income Information

    Type of Income

    Total Annual Income

    Additional Details/Information

    Borrower's Declaration

    In connection with my application for credit, consent is required by the applicant for Maple Leaf Mortgages to obtain a credit report in order to proceed. Take notice that the lending institution funding this mortgage/loan and its assignees may procure and may refer to a credit report supplied by Maple Leaf Mortgages and that such information may be shared to other credit grantors in regards to this application. I/We are of the age of consent (19 years old) and understand the risks associated with internet or electronic transmission. The statements herein are made for the purpose of obtaining this loan and are correct to the best of my knowledge.