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Test Form

Create Your Profile:

Salutation:

First Name*:

Middle Name:

Last Name*:

Email*:

Re-Confirm Email*:

Choose Password*:

Re-Confirm Password*:

Tell us a bit about yourself:

Date of Birth*:

Marital Status*:

Home/Mobile Number*:

Work Phone Number*:

Street Address*:

Apartment/Suite Number:

City*:

Province*:

Postal Code*:

How long have you lived at current address?*:

Residency Status*:

How long have you lived at current address?*:

Education*:

Education Details*:

Awesome! Tell us a little about your employment and Income

Employment Status*:

Job Title*:

Employer Name*:

How long you have been employed?*:

Employment Start Date*:

Net Monthly Income*:$

Last Pay Date*:

Pay Frequency*:

Supervisor/Manager Name*:

Supervisor/Manager Phone Number*:

Position*:

Business Name*:

How long you have been in business?*:

Business Start Date*:

Net Monthly Income*:$

Last Pay Date*:

Pay Frequency*:

Net Monthly Income*:$

Last Pay Date*:

Pay Frequency*:

Job Title*:

Employer Name*:

Reason For*:

How long you have been employed?*:

Employment Start Date*:

Net Monthly Income*:$

Last Pay Date*:

Pay Frequency*:

Do you have any secondarily income?*:

Type of Income*:

Net Monthly Income*:$

Please provide your Social Insurance Number:

Great! You’re almost done! Financial information:

Do you rent or own your home?*:

How much is your monthly rent?*:$

What is Your Landlord’s Name*:

Landlord’s Phone Number*:

What is your approximate mortgage balance?*:$

How much is your monthly mortgage payment?*:$

Are you currently going through any credit counselling?*:

Have you filed for consumer proposal in the last 6 to 12 months to avoid bankruptcy?*:

Have you declared bankruptcy in last 12 months?*:

Name of Reference*:

Relationship*:

Phone Number of Reference*:

Name of 2nd Reference*:

Relationship*:

Phone Number of 2nd Reference*:

What do you plan on using this loan for?

How much would you like to borrow?*$

To process your loan, we need to verify your credit profile. You'll be asked a few personal security questions to validate your identity.

I have read and agree to the Terms of Use and Privacy Policy and CONSENT and AUTHORIZE LoanRidge to obtain my credit report for the purpose of the loan application.

Tell us about your employment:

To help you get the highest loan amount, please provide a copy of a cheque from your financial institution. You can drag and drop an image file.

Please prove you are human by selecting the car.