COVID-19 Online payment deferral request form
BORROWER INFORMATION
Primary borrower:
First name
Last name
Co-borrower/Additional borrower:
(if applicable)
First name
Last name
Property address:
City
Province
Province
Alberta
British Columbia
Manitoba
New Brunswick
Newfound and Labrador
Nova Scotia
Ontario
Prince Edward Island
Quebec
Saskatchewan
North West Territories
Nunavut
Yukon
Postal Code:
Email address
(where the reply to this request will be directed)
:
Phone:
MORTGAGE INFORMATION
Mortgage number
(13 digits, available on your mortgage statement)
:
(Optional)
Property type:
Choose one
Primary residence
Secondary / vacation home
Rental property
Your next payment date:
How long would you like to defer your regular payment?
(1 month = 4 weekly / 2 bi-weekly / 2 semi-monthly / 1 monthly)
Choose one
1 Month
2 Months
3 Months
Do you have more than one mortgage with us?
Choose one
YES
NO
*If yes please provide full mortgage number(s) below
Mortgage number
(13 digits, available on your mortgage statement)
&/or property address
Mortgage number
(13 digits, available on your mortgage statement)
&/or property address
COVID SITUATION
How has COVID-19 affected you?
Choose one
Voluntary / Mandatory isolation
On leave caring for a family member
Reduced or lost income
Job Loss
What is your current income situation?
Choose one
Applied for / receiving government assistance
Job loss, no income
Currently working, income reduced
No change to income
When was your last day of work?
Please provide additional details of how COVID-19 has affected you financially:
CONSENT & DISCLOSURE
I am requesting a deferral of my mortgage principal, interest, and property tax (if applicable) payment(s), if eligible.
I understand that the payment deferral(s) being requested will increase my total amount owing under the loan, and:
Interest will continue to accrue during the deferral period
Interest and tax portion of my payment (if applicable) will be added to the principal balance of my loan and will accumulate interest
The balance of my loan at the end of the current term will be higher due to the deferred payment(s)
I understand the submission of this request is not an approval of my deferred mortgage payment(s), and that I must continue to make my regular payments until I receive approval of deferral.
If there is more than one borrower, I declare that I am authorized by all borrowers on this mortgage to (i) provide personal information concerning their financial situation; (ii) make this request and (iii) express the required consents on their behalf.
I acknowledge that by completing this form I am providing IG Wealth Management with personal information (as that term is defined in federal and provincial privacy legislation). I consent to the fact that IG Wealth Management is collecting such personal information for the purpose of evaluating and processing my request for deferral(s) of sums due pursuant to my mortgage. I acknowledge and consent to IG Wealth Management retaining the personal information provided for as long as permitted or required by law. I acknowledge and consent that my personal information may be transferred to other companies in the IG Wealth Management group for the purposes of evaluating and processing my request. For more information on privacy at IG Wealth Management please visit
https://www.ig.ca/en/legal/privacy
.
By clicking “Submit,” I authorize IG Wealth Management to send me any communication related to this request electronically and securely at the email address provided above.
By clicking “Submit,” I agree to modify the terms and conditions of my mortgage by deferring payments as provided herein. Additional information on the IG Wealth Management COVID-19 Homeowner Assistance Program is available
here
and is incorporated by reference herein.