Intake Sales (4 Sellers)

*Required input
Application Information Address you are selling*
Primary Seller Information

First Name*

Middle Name (If appliable):

Last Name*

Date of Birth* (yyyy-mm-dd format)

Phone Number*

Email*

Spousal Status*

Citizenship*

Spouse to

Will you be a resident of Canada for income tax purposes on the day of closing

Occupation Information (1st Seller) Job Title

Company Name

Company Phone Number

Company Address (Full Address including postal code)

Second Seller Information

First Name*

Middle Name (If appliable):

Last Name*

Date of Birth* (yyyy-mm-dd format)

Phone Number

Spousal Status*

Citizenship*

Spouse to

Will you be a resident of Canada for income tax purposes on the day of closing

Occupation Information (2nd Seller) Job Title

Company Name

Company Phone Number

Company Address (Full Address including postal code)

Third Seller Information

First Name*

Middle Name (If appliable):

Last Name*

Date of Birth* (yyyy-mm-dd format)

Phone Number

Spousal Status*

Citizenship*

Spouse to

Will you be a resident of Canada for income tax purposes on the day of closing

Occupation Information (3rd Seller) Job Title

Company Name

Company Phone Number

Company Address (Full Address including postal code)

Fourth Seller Information

First Name*

Middle Name (If appliable):

Last Name*

Date of Birth* (yyyy-mm-dd format)

Phone Number

Spousal Status*

Citizenship*

Spouse to

Will you be a resident of Canada for income tax purposes on the day of closing

Occupation Information (4th Seller) Job Title

Company Name

Company Phone Number

Company Address (Full Address including postal code)

Do you currently reside at the property?* Property Use*

If Other, please specify

Is there rental equipment (ie hot water tank) that requires a transfer agreement signed by the buyer?*

Specify the rentals (include the account number)

Lock Code Address of your primary residence after closing (Full Address including postal code)

Mortgage Information* Existing Mortgages or Line of Credits registered against the property

Lender 1 - Name Lender 1 - Account Number Lender 1 - Approximate Balance:

Lender 2 - Name Lender 2 - Account Number Lender 2 - Approximate Balance:

Lender 3 - Name Lender 3 - Account Number Lender 3 - Approximate Balance:

Lender 4 - Name Lender 4 - Account Number Lender 4 - Approximate Balance: