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Answer our quick 2 minute personal info questionnaire below and once we receive it, one of our Finance Managers will get in touch and assist you through out the approval process.

Get FREE ASSESSMENT here and know if you Pre-Qualify!

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- Step 1 of 7

What Do You Need Help With? *

How Much CASH Do You Need? *

You can say "whatever is MAX" if you don't have any idea yet.

How Much Do You Need For Your Travel? *

Including (Plane Tickets, Pocket Money, Emergency expenses, and / or Pasalubong)

When is your TARGET DATE to Travel? *

PERSONAL INFORMATION

Full Name *

First

Last

Birthdate *

SIN#

optional (but this will help us process your application faster)

Home Address *

Address Line 1

City

State / Province / Region

Postal Code

How long have you been living in your home address? *

Please indicate Years and/or Months

Email Address *

Phone Number *

Marital Status

Home Address Type *

How much is your Monthly RENT?

How much is your Monthly Mortgage Payment in your Home? *

Which Bank Is It Mortgage With?

How Much is the Mortgage Balance (Estimate)?

What's The Market Value of your House today?

When Is Your Mortgage Renewal Date?

SOURCE OF INCOME

What is your SOURCE of INCOME? *

The most BASIC requirement is that you have a REGULAR Income Source of at least $2,100 per month (BEFORE Deductions) from whatever source/s.

PRIMARY EMPLOYMENT DETAILS

Company / Employer Name *

Job Title / Position *

Hourly Rate *

Average Hours Per Week Work *

Company Phone# *

Employer's Complete Address *

Address Line 1

City

State / Province / Region

Postal Code

Job Type *

Length Of Service *

How Long Have You Been Working in this Company?

SELF EMPLOYED DETAILS

What is the Legal Name (Corporate Name) of your business? *

Briefly Describe Your Business being Self-Employed *

Average Monthly Income (Before Taxes/Deductions) *

Estimate Number of Employees?

Since When did you started your business being Self-Employed? *

What is the Address of your Business? *

Address Line 1

City

State / Province / Region

Postal Code

Please enumerate the source/s of your monthly income being a retiree? *

Example: CPP = $1,000, OAS = $740, GIS = $200, RRSP, TFSA, Employer Pensions or if you have Rental Property Income. Indicate how much.

INFORMATION Do (If

(Optional) Do you have OTHER source/s of income (Example: 2nd Job, Government Benefits like Child Tax etc., or Business Income), please describe here below:

Please list here ALL your OTHER income aside from your "primary" employment. NOTE: THIS IS OPTIONAL ONLY IF YOU HAVE ONE.

Do You Have A Broker Processing Your Mortgage Approval? *

COLLATERAL INFORMATION

Do You Have a Collateral for the Loan? Like (CAR/SUV/TRUCK/VAN) *

IF YOU DON'T HAVE ONE, it's OK. We just need to know in this application. COLLATERAL is the main reason why we can offer VERY LOW INTEREST RATES on our Loan.

Collateral / Vehicle Details *

Year Model - Make - Model - Series (Trim) - Color

What's the Kilometers (Odometer) of your Vehicle

Selected Value: 0

Which Bank is it loan under? (Lien Holder) *

VIN# (Vehicle Identification Number)

This is the 17 digit number/letter combination found in your Car Windshield / Registration / or Insurance copy.

Do You Still Have Balance Owing on Your Car Loan? *

Still With Balance Owing
It's FREE & CLEAR!

Estimate Remaining Balance Owing in your Vehicle (If Any) *

Any Other Information You Want Us To Know That May Help Your Application

Best DAY and/or TIME to we can contact you by phone? *

What DAY and/or TIME we can contact you to verify all the info you provided and possibly update you on the results of the approval? Thank you.

By submitting this form, the applicant certifies that the information supplied herein is true and correct to the best of their knowledge. Submission of this form constitutes authorization for Philcan Finance to conduct credit investigations, verify all provided data, and process the loan application.