Mobile Home Loans Application Form LOAN APPLICATION FORMLoan DetailsPlease enter the amount of money you want to borrowYou are applying for?*Secured LoanUnsecured LoanAmount*Between $1,000 and $50,000Please enter the amount of money you want to borrow. Select Amount to borrow*Select$300$400$500$600$700$800$900$1,000What is the reason for your loan?*Credit Score*Don’t know your credit score? Go to creditkarma.ca. Don’t know your credit score? Go to creditkarma.ca. Personal InformationPlease fill up your personal information belowFirst Name*Last Name*Phone Number xxx-xxx-xxxx*XXX-XXX-XXXXEmail address*Address*City*Choose your provinceAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonPostal Code*Example: H1H 1H1InformationPlease select700 – 800600 – 700500 – 600400 – 500Credit Score?Approximate Monthly Expense*Marital Status?SingleMarriedDivorcedCommon lawMarital StatusFather’s Full Name*Mother’s Full Name*Mother’s Maiden Name*Married InformationSpouse Fullname*Spouse Date of Birth*Does Your Spouse Work?YesNoDoes Your Spouse Work?What’s Your Spouse Occupation?What’s your Spouse’s Gross Annual salary?What’s Your Spouse Credit Score?*Spouse Employer Name*Dependent(s) InformationDo you have any Dependent(s)? *Please selectYesNoDependent(s) InformationHow Many Dependent(s)?*Do you receive child benefits?*Please selectYesNoWhat’s your monthly child benefits?*EmploymentAre you Currently Employed*Please selectYesNoJob Sector*Please selectAccountancy, Banking & Finance.Business, Consulting & Management.ConstructionWholesale & RetailCreative Arts & Design.Energy & UtilitiesEngineering & ManufacturingEnvironment & AgricultureHealthcareEducationOtherOther Job Sector Name*Current Employer Name*Job Title*Annual Gross Income*Employer Phone Number*How long have you been working at your present work?*Complete address of the office where you’re working*Select Previous Employment? YesNoPrevious Employment? How long did you work at your previous work?*Previous Employer Name*Please Contact our office at 877-787-1682 or send an email to info@bhmfinancial.com for more information.Residence InformationHousing Status*Please selectRentingHomeownerHow long have you been living at your current address?*How long have you been living at your current address?*What is your rent per month?*What is your monthly mortgage payment?*AssetsAre you an asset owner?*YesNoCollateral is Required for “Secured Loans”Are you an asset owner?(If you own multiple assets, you can choose more than one asset)Car OwnerHome OwnerMobile Home OwnerTrailer OwnerLand OwnerOtherJewelryCoinsGoldCheck which you haveOther Asset’s Name*Your Asset(s) Info:CarVehicle YearYear of your vehicleMakeCompany of the vehicleSelect MakeAcuraAudiBMWBuickCadillacChevroletChryslerDodgeFiatFordGMCHondaHummerHyundaiInfinitiJaguarJeepKiaLand RoverLexusLincolnMaseratiMazdaMercedes-BenzMercuryMiniMitsubishiNissanOldsmobilePontiacPorscheRamSaabSaturnScionSmartSubaruSuzukiToyotaVolkswagonVolvoOtherModelKilometersEnter the Approximate Kilometers on your vehicleValueVIN NumberWhen did you buy it?*How much did you buy it for?*Condition*Please selectNewUsedVehicle Paid Out?*Is your vehicle clear of any liens or loans?SelectYesNoCredit Score*Don’t know your credit score? Go to creditkarma.ca.Don’t know your credit score? Go to creditkarma.ca.Balance on Vehicle?–YesNoWhen Balance Paid in Full?*When Balance Paid in Full?Remaining balance to pay*How much was your original car loan amount?*HomeHome Assessment ValueMortgage balance*Mortgage balance 2*Purchase Price*Date of Purchase*Date of PurchaseAdditional Information for Home OwnerName of Mortgage 1Interest Rate of 1st mortgageMortgage Balance 2Year it was built?TaxesNumber of Stories12345678ElevatorsSelectYesNoPorchBedrooms12345678910Square FootageRecent RenovationSelectYesNoMortgage Balance 1Name of Mortgage 2Interest Rate of 2nd mortgageProperty TypeSelect TypeCondoCo-OpSingleMultiMonthly MaintenanceYear Built?Management CompanyGarage/Parking SpaceBaths12345678910ConditionRenovation DetailsWallsRenovation DateRenovation DetailsWindowsRenovation DateRenovation DetailsRoofRenovation DateRenovation DetailsBathroomRenovation DateRenovation DetailsKitchenRenovation DateRenovation DetailsFloorRenovation DateRenovation DetailsDeckRenovation DateRenovation DetailsOther RenovationsRenovation DateRenovation DetailsMobile HomeMunicipal valueMortgage balancePurchase priceDate of Purchase*Date of PurchaseYearYear of your mobile homeMake Manufacturer of your mobile homeModelLocated OnSelect OptionRented LandMobile Home ParkOwn LandLand Owner’s NameLand Owner’s Phone NumberLand Owner’s AddressMobile Home Park NameMobile Home Park AddressMobile Home Park Phone NumberMobile Home Park ManagerHow many units are in the park?Municipal ValueMortgage BalancePurchase PriceDate of PurchaseDate of PurchaseTrailerYearYear of your trailerMakeCompany of your trailerModelSlidesValueTrailer Paid OutPlease selectYesNoLandMunicipal valueMortgage balancePurchase priceDate of PurchaseDate of PurchaseDid You Apply for a Loan before?*Please selectYesNoDo You Currently have a Loan with Us?*Please selectYesNoHow did you hear about BHM Financial?*Social Media*Please selectFacebookTwitterLinkedInOtherSocial Media ID*example: facebook.com/yourid or twitter.com/youridType the characters*Security CheckYes, I would like to receive a quote on how much CASH I can get on my Title Loan as well as information on other products and/or services from and its affiliates via text message and email. By making this selection, I understand and agree I will receive text messages at the mobile number provided. I know my selection is not necessary to apply for and/or use services.By applying I agree to BHM Financial Group’s Wireless Policy, Privacy Policy & Terms & ConditionsSubmit & ContinueThis field should be left blank
