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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.