Fast Capital

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	Want to know if you qualify for a mortgage?* Simply fill out the brief questionnaire below or contact us, if we do not think you meet the criteria for a mortgage, we will let you know right away. We know your time is precious. If based on your answers you meet our lending criteria one of our lending officers will contact you shortly to discuss borrowing options available to you.**

	In most cases we are able to fund your mortgage in part or in full in as little as 24-48 hours!!

	Personal Information
	Full Name :*
	E-mail Address :*
	Best telephone number to reach you? :*

	City Your Home Is Located In
	City/Province :*
	Address :
	If Other, City Name :

	Information About Your Home
	What Is The Estimated Value Of Your Home?:**	$ .00
	How Much Do You Need To Borrow? :*	$ .00
	What Do Your Currently Owe On Your Home? :*	$ .00
	*Please enter in numbers only. Do NOT enter in commas ','. Thank you!

	How Did You Hear About Us? :


	* Required Fields

	In some cases we are unable to determine your eligibility based on the limited information provided, in this case one of our lending officers will contact you for further information. *This is not a final mortgage approval, it is an initial assessment only. We will be required to speak with you directly and will require further information and verification of the information provided prior to funding your mortgage.