Email Address * Mandatory     First Name *     Last Name *     Province Select One Alberta British Columbia Manitoba New Brunswick Newfoundland North West Territories Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory *     Postal Code     Telephone  -  - *     Mobile Phone  -  -     Best Time To Call Select One 9 to Noon 12 to 5 5 to 9 Anytime *     Best Method Of Contact Select One Phone Email *     Purpose Of Contact     Select One Other Status Of My Application Have Some Questions Consolidating Credit Cards & Loans into New 2nd Mtg Consolidating Old 1st Mtg, Cards & Loans into New 1st Mtg Consolidating Old 1st and 2nd Mtg into New 1st Mtg Consolidating Old 1st and 2nd Mtg, Cards & Loans into New 1st Mtg Consolidating Other Personal Debts into New 1st Mtg Consolidating Debts for Other Purposes Consolidate New First Mtg Requested Consolidate New Second Mtg Requested New Third Mtg Requested New First Mtg Requested to payout Old 1st Mtg New Second Mtg Requested to payout Old 2nd Mtg New Third Mtg Requested to payout Old 3rd Mtg Consolidate No Income Proof Mtg purposes Taking Equity Cash Out for Home Improvements Taking Equity Cash Out for Revenue Canada Income Taxes Taking Equity Cash Out for Education Costs Taking Equity Cash Out for New Car Purchase Taking Equity Cash Out for Traveling/Vacation Taking Equity Cash Out for Business Purposes Taking Equity Cash Out for Other Purposes Transferring/Switching Mtg from another Lender for a Better rate Mtg in Arrears and Need Help Mtg Under Power of Sale and Need Help Property Taxes in Arrears and Need Help Maintenance Fees in Arrears and Need help Purchasing New Home Purchasing Rental/Investment Property Purchasing Recreational Property Purchasing Pre-Approval/Pre-Qualification purposes Business Loan Requested Do Not Own A House, Need Personal Loan Other debts in Arrears and Need Help     Comments / Questions                           Tel         : (416) 410-7070 (9 am to 5 pm Eastern Time) Toll Free : 1 877 410-7070 (9 am to 5 pm Eastern Time) Fax        : 1 866 410-7060       Vital Mortgage (Head Office) o/a SecondMortgageSolution.com 70 East Beaver Creek Rd, Suite 201, Richmond Hill, ON., L4B 3B2