Surecap Finance - Loan Application

Borrower Information

Tell us about yourself and your employment.

Full Name*

Email Address*

Cell Phone*

Other Phone

Address*

Employer Name*

Employer Address

Number of Years with Employer

Employment Type*

Compensation Type*

Employer Telephone

Employer Email

Income

List all recurring gross monthly income sources.

Source / Description

Gross Monthly Amount ($)

Total Gross Monthly Income ($)*

Automatically calculated.

Monthly Obligations

Enter all fixed monthly housing and legal obligations.

Housing (Rent / Mortgage) ($)

Property Taxes ($)

Condo Fees ($)

Insurance ($)

Heating ($)

Alimony ($)

Child Support / Alimony ($)

Other Legal Financial Obligations ($)

Total Monthly Obligations ($)

Debt Payments

Minimum required monthly payments for each debt.

Credit Cards (minimum payment) ($)

Personal Loan ($)

Auto Loan ($)

Student Loan ($)

SureCap Loan Interest ($)

Total Debt Expenses ($)

Debt-to-Income Ratio (%)

(Total Obligations + Total Debt Expenses) ÷ Total Income × 100

Assets

Assets including properties and investments.

Stocks and Investments ($)

Other Assets ($)

Property 1 Value ($)

Property 2 Value ($)

Property 3 Value ($)

Property 4 Value ($)

Property 5 Value ($)

Total Assets ($)

Liabilities

Outstanding debt balances.

Credit Card Debt ($)

Line of Credit ($)

Personal Loans ($)

SureCap Loan ($)

Mortgage — Property 1 ($)

Mortgage — Property 2 ($)

Mortgage — Property 3 ($)

Mortgage — Property 4 ($)

Mortgage — Property 5 ($)

Total Debt ($)

Net Worth ($)

Total Assets − Total Debt

Property Details

Enter details for your primary property. You can add up to four more.

Property 1

Civic Number

Street Name

City

Postal Code

Lot Number

Property Market Value ($)

Total Mortgage Amount ($)

Equity ($)

Debt-to-Value Ratio (%)

Property 2

Civic Number

Street Name

City

Postal Code

Lot Number

Property Market Value ($)

Total Mortgage Amount ($)

Equity ($)

Debt-to-Value Ratio (%)

Property 3

Civic Number

Street Name

City

Postal Code

Lot Number

Property Market Value ($)

Total Mortgage Amount ($)

Equity ($)

Debt-to-Value Ratio (%)

Property 4

Civic Number

Street Name

City

Postal Code

Lot Number

Property Market Value ($)

Total Mortgage Amount ($)

Equity ($)

Debt-to-Value Ratio (%)

Property 5

Civic Number

Street Name

City

Postal Code

Lot Number

Property Market Value ($)

Total Mortgage Amount ($)

Equity ($)

Debt-to-Value Ratio (%)

Documents & Signature

Upload each document using the button on its row. The checkbox ticks automatically when a file is uploaded. Files are saved to Google Drive immediately — not on submit.

Documents Checklist

Utilities

📎 Choose file

Pay stubs / proof of income

📎 Choose file

Government assessments (3 years)

📎 Choose file

Municipal tax bills

📎 Choose file

Condo fees

📎 Choose file

Other loan contracts and interest statements

📎 Choose file

Credit report

📎 Choose file

Accepted: PDF, JPG, PNG — max 10 MB per file, up to 5 files per category. Files are uploaded to Google Drive immediately.

Identity Verification

Please take a quick selfie so we can confirm you are the person submitting this application. Position your face inside the oval and press Take Photo.

Review & Submit

Review and submit your application to Surecap Finance.

Borrower Name

–

Total Gross Monthly Income ($)

–

Debt-to-Income Ratio (%)

–

Net Worth ($)

–

By submitting, you confirm the information is accurate and complete.

Borrower Information

Income

Monthly Obligations

Debt Payments

Assets

Liabilities

Property Details

Documents & Signature

Identity Verification

Review & Submit

Thank you for your application.

Almost done — please sign your loan agreement

Application Complete ✓