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APPLICATION TO ORIGINATE MORTGAGES UNDER RADIUS FINANCIAL
Please complete and submit form
Broker Office
Company Name
*
Company Address
*
Province
*
City
*
Postal Code
*
Telephone Number
*
Broker Office Principal Contact
Name
*
Telephone Number (if different)
Information about you the Agent
Name
*
Broker License No. (as provincially regulated)
Business Address
(if different than Broker office)
Telephone Number
*
Cell Phone Number
*
Email Address
*
Website
Mortgage System Technology
*
(Note must be on Expert to submit deals to Radius Financial)
Number of years in the Mortgage Industry
*
Number of years as a Mortgage Agent/Owner
*
Memberships
CAAMP
AMBA
MBABC
IMBA
Other
Is Mortgage Brokering your principal occupation?
*
(if no, please explain)
Yes
No
Total 2011 Annual Volume
*
Business Mix
*
A
% vs B
%
Residential
% vs Commercial
%
Top 3 Lenders used
*
1)
$
2)
$
3)
$
List 3 Lender References
*
1)
Name
Company
Phone/Email
2)
Name
Company
Phone/Email
3)
Name
Company
Phone/Email
By completing and submitting this Application, you consent to Radius Financial. and/or its affiliates obtaining information and/or confirming information relating to this application with third parties. You also consent to sharing of this information with Radius Financial. and/or its affiliates. You also authorize and direct any third party that a Radius Financial. employee may contact them in regard to this application and provide information relating to this application. You certify that the information provided in this application is accurate and complete. You also certify that Radius Financial. and/or its affiliates may run a credit bureau, REDX report or may validate with any other parties who may have information relating to your position as a Mortgage Broker/Owner.
