The Canadian Renovation
Funding Program

---------------------
Program Information & Registration Form

Please indicate how you initially heard of
The Canadian Renovation Funding Program or 
The Renovation Co-op:

Best Time(s) to call:

Best Day(s) to call:

Best Phone Number(s) to call

 

If your request includes the financing of renovations, please select from the following types of projects:

General Contractor-level (Renovations that require the  management of 2 or more individual trade services)

Individual Trade Services

If your request is for mortgage financing only, please select from the following:

Note: You do not have to purchase renovations in order to apply for mortgage financing through
The Canadian Renovation Funding Program.

If you are purchasing a home, please enter the amount of your down payment:

$

Section A- Main Applicant Information

A-1

First Name

A-2

M.

A-3

Last Name

A-4

Date of Birth

.

A-6

Marital Status

A-7

Dependents

A-8

Current Address

A-9

City

A-10

Province

Postal Code

A-11

Years there

A-12

Previous Address

A-13

City

A-14

Province

Postal Code

A-15

Years there

A-16

E-mail address (use only your main email)

A-17

Home Phone

A-18

Cell Phone

A-19

Residential Status

A-20

Current Employer

A-21

Current Occupation

A-22

Work Phone

Ext.

A-23

Type of Income

A-24

Current Employer Address

A-25

Gross Yearly Income

A-26

Years there

$

A-27

Previous employer (if less than 3 years ago)

A-28

Previous Occupation

A-29

Prev. Gross Income

A-30

Years there

$

A-31

Second Employer

A-32

Gross Yearly Income

A-33

Years there

$

A-34

Other income and other income source

A-35

Other income amount per year

$


Section B-  Co-Applicant Information

Note: If there is no Co-Applicant, please 
proceed to Section C.

B-1

First Name

B-2

Init.

B-3

Last Name

B-4

Date of Birth

B-6

Marital Status

B-7

Dependents

B-8

Current Address

B-9

City

B-10

Province

B-11

Postal Code

B-12

Years there

B-13

Previous Address

B-14

City

B-15

Province

B-16

Postal Code

B-17

Years there

B-18

Home Phone

B-19

Cell Phone

B-20

Residential Status

B-21

Current Employer

B-22

Current Occupation

B-23

Work Phone

Ext.

B-24

Type of Income

B-25

Current Employer Address

B-26

Gross Yearly Income

B-27

Years there

$

B-28

Previous employer (if less than 3 years ago)

B-29

Previous Occupation

B-30

Prev. Gross Income

B-31

Years there

$

B-32

Other income and other income source

B-33

Other income amount per year

$

 

Section C-  Mortgage Information

C-1

Total debt to consolidate:

$

  (Not including your current mortgage balance)

C-2

Current value of your home:

$

C-3

  Yearly property taxes $

C-4

Original purchase price:

$

C-5

  Date purchased  

C-6

Last Appraisal Date:

C-7

Appraisal value

C-8

Name of appraiser or company that ordered it: 

C-9

Property Taxes Owing:

$

 

Details of existing 1st Mortgage:

C-10

1st Mortgage Lender: 

C-11

Mortgage Balance

C-12

Rate 

%

C-13

Monthly Pmt

C-14

Type

C-15

Renewal Date

 

Details of existing 2nd Mortgage:

C-16

2nd Mortgage Lender:

C-17

Balance

C-18

Rate

C-19

Payment

C-20

Type

C-21

Renewal Date


Section D- Details of Existing Property:

D-1

Dwelling type

D2-

Property Age

yrs

D-3

Tenure

D-4

Dwelling Style

D-5

Lot Size

D-6

Garage Type

D-7

Heating Type

D-8

Home size (Sq. Ft.)

sq. ft

D-9

Garage Style

Section E- Assets

Asset

Value

E-1

Cash/Savings

E-2

RRSP's (Combined)

E-3

Stocks

E-4

Other Assets:

E-5

Value:

E-6

Name of Bank (checking, savings, etc.):

E-7

Branch/Intersection

Section F- Liabilities

Credit Cards

Institution name (MasterCard, Visa, etc.)

Balance Owing

Monthly Payment

F-1

F-2

F-3

F-4

F-5

F-6

F-7

F-8

F-9

F-10

F-11

F-12

Auto 

Make & Year

Lender

Balance

Monthly Payment.

F-13

F-14

F-15

F-16

F-17

F-18

F-19

F-20

Other Debts

Type of Debt

Lender

Balance

Pmt

F-21

F-22

F-23

F-24

F-25

F-26

F-27

F-28

 

Section G- Client Comments

G-1

Comments:

Please enter any information that will
help us process your application quickly