I want to borrow

$1,000 or less $1,001 to $5,000 $5,001 to $10,000 $10,001 to $15,000 $15,001 to $20,000 More than $20,000 Please select a loan amount

2

What is the purpose of the loan?

Debt Consolidation Credit Card Consolidation Emergency Expense Car Repair Other Please select purpose of the loan

2.1

What is your estimated credit score?

Good (Over 700) Fair (550 - 700) Low (Under 550) Current Bankruptcy Current Consumer Proposal Not Sure Please select your credit score

2.2

Credit card debt amount

No debt Less than $5,000 $5,001 to $10,000 $10,001 to $15,000 Please select credit card debt amount

2.3

Total other unsecured debt

Unsecured debt refers to personal loans and telecom bills, but excludes credit card balances, car loans and mortgages.

No debt Less than $5,000 $5,001 to $10,000 $10,001 to $15,000 Please select total other unsecured debt

3

Select your main income source

Full-Time Employed Part-Time Employed Self-Employed Disability Pension / CPP / OAS Not Working Please select your main income source

3.1

How often are you paid?

Weekly Every 2 Weeks Twice A Month Monthly Please select often you are paid

3.2

Your next salary payment date

Please select month

Please select date

3.3

Your employment

Job title

Job title cannot be blank.

Employer name

Employer name cannot be blank.

3.4

Select your monthly income

No monthly income $1500 or less $1501 to $2000 $2001 to $3000 $3001 to $4000 $4001 to $5000 More than $5000 Please select your monthly income

3.5

Select time in current job

3 Months 6 Months 6 Months - 1 Year 1 Year - 1.5 Years 2 Years - 2.5 Years 3 Years - 3.5 Years 4 Years - 4.5 Years 5+ Years Please select time in current job

3.6

Do you receive your income by direct deposit?

Yes No Please select your income by direct deposit

4

What is your address?

Or type the address manually below

Your Street Address

Please fill street value

City

Please fill city value

Province Please select province value

Postal code

Please fill postal code

4.1

How long have you been at this address?

Under 3 months 3 to 6 months 6 to 12 months 1 year or more Please select how long have you been at this address.

4.2

Are you a homeowner?

Yes No Please select your a homeowner

4.3

Tell us about your living situation

Monthly mortgage payment

Please fill value

Current Mortgage Balance Owed to Bank

Please fill value

Property Value

Please fill the correct value.

4.4

Residency status?

Pr Citizen Work Permit Student Visa Other Please select residency type.

4.5

Your preferred language?

English French Please select preferred language.

5

How can we reach you?

First Name

Please fill correct value

Last Name

Please fill correct value

Date of Birth