Refinance Questionnaire Full Legal Names of Person(s) on title to the Property:Name #1* First Middle Last As it appears on your Driver's license/PassportSocial Insurance Number (SIN)*Date of Birth* MM slash DD slash YYYY Pursuant to Law Society of British Columbia Rules you are required to provide details as to your employment. For example, if you are going to list your employment as self-employed or provide just a title such as “manager”, “investor”, “advisor”, you will need to explain the economic activity (e.g., bank loan, savings from salary, settlement funds) or action that generated your source of money (e.g., inheritance, savings from salary, life insurance proceeds etc.) and a brief description of your business or employment activities (e.g. rental income, investment income, sale of goods and services etc.Are you self employed?NoYesName of the employer* Job Title* List your responsibilities at work*Please be as precise as possibleHome PhoneBusiness PhoneCellular PhoneEmail* First ID*Max. file size: 100 MB.Please upload a government-issued picture ID. Example: Driver's License, BC Service Card, Passport Second ID*Max. file size: 100 MB.Please upload an ID with your name on it. It can be picture or non-picture IDHow many other people are on title?*NoneOneTwoThreeSecond PersonName #2* First Middle Last As it appears on your Driver's license/PassportSocial Insurance Number (SIN)*Date of Birth MM slash DD slash YYYY Occupation Home PhoneBusiness PhoneCellular PhoneEmail First IDMax. file size: 100 MB.Please upload a government-issued picture ID. Example: Driver's License, BC Service Card, Passport Second IDMax. file size: 100 MB.Please upload an ID with your name on it. It can be picture or non-picture IDThird PersonName #3* First Middle Last As it appears on your Driver's license/PassportSocial Insurance Number (SIN)*Date of Birth MM slash DD slash YYYY Occupation Home PhoneBusiness PhoneCellular PhoneEmail First IDMax. file size: 100 MB.Please upload a government-issued picture ID. Example: Driver's License, BC Service Card, Passport Second IDMax. file size: 100 MB.Please upload an ID with your name on it. It can be picture or non-picture IDFourth PersonName #4* First Middle Last As it appears on your Driver's license/PassportSocial Insurance Number (SIN)*Date of Birth MM slash DD slash YYYY Occupation Home PhoneBusiness PhoneCellular PhoneEmail First IDMax. file size: 100 MB.Please upload a government-issued picture ID. Example: Driver's License, BC Service Card, Passport Second IDMax. file size: 100 MB.Please upload an ID with your name on it. It can be picture or non-picture IDWill there be a transfer of title?YesNoTransfer TypeAdding a new personRemoving a person who is already on titleWho is being removed from the title? Full name. If more than one person use comma to separate - Example: John Doe, Jane DoneIf you are adding more than one person to the title please contact our office directly.Name First Middle Last Social Insurance Number (SIN)*Relationship Example: Spouse, Brother, Mother, Sister, etcNew tenant typeJoint TenantTenants in CommonPercentage of Tenants in Common Address of Property being refinanced: Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Do you wish to obtain title insurance for this property?YesNoPlease click here to obtain more informationProperty TypeHouse (Single/Detached)Duplex (Attached)TownhouseCondoManufactured Home (Mobile Home)Completion Date for refinance: MM slash DD slash YYYY Current mortgage to be paid out Mortgage Reference Number It can be found on your mortgage statementAre additional funds required for the refinance of your property?*YesNoPlease list the source(s) of the additional funds*Current Mortgage Broker's name: Current Mortgage Broker's Phone NumberCurrent Mortgage Broker's Email Our office requires at least two weeks written notice of any payout requests or inquiries. If you have not provided us with at least two weeks notice as required then you may be liable for any additional fees, interest, penalties and charges as levied by your lender as well as additional fees, taxes and disbursements by our office. Δ