Form Test First Name Last Name Email Company What is your full legal name?: What is your date of birth?: What is your phone number?: Are you a Canadian citizen or Permanent Resident?: Were you physically present in Canada for 183 days out of the 12-month period prior to the closing?: Are you a first-time home buyer?: What is your pre-closing address?: Property as your primary residence ?: What is your employer's name?: What is your employer's address?: What is your occupation/job title?: What is your marital status?: What is the name and contact information of your mortgage broker/specialist?: