Are you looking into receiving a mortgage proposal?

I'll be happy to provide you with the best options on the market.

Let's start with your contact details.

What type of mortgage are you looking for?

Refinance Details

$
$
$
$

What is the current balance on your mortgage?

$

Which lender are you currently with?

Have you been pre-qualified?

What type of property?

Purchase Price

$

Down Payment

$

Where is the property located?

Are you submitting your application with a co-applicant?

Please provide the contact details of the co-applicant.

Property Usage

Employment Information

$

Additional Comments

Is there anything else you'd like us to know?

Here's an overview of the questionnaire

Pre-qualification Mortgage

Purchase Mortgage

Refinance Mortgage

Transfer Mortgage

Property Type

Single Home

Condo

Income Property

Chalet

Purchase Price Amount

Down Payment

Current Mortgage Balance

Your Coordinates

First Name

Last Name

Email

Phone

Street Address

City

Province

Postal Code

Your Employment

Job Title

Annual Salary

Are you self-employed?

Income Type

Years

Months

Operating As

Property Address

Street Address

City

Province

Postal Code

Other Details

With Co-Applicant

Property Usage

First Name

Last Name

Email

Phone

Street Address

City

Province

Postal Code

Current Interest Rate

Maturity Date

Application Submitted!

Thank you for your application

A mortgage specialist will contact you shortly

Gabriel Quiroga

Gabriel Quiroga

Gabriel Quiroga

Quote Request

gquiroga@planipret.com 5148652983
Contact
  • North Shore: 450.491.4554
  • Toll-free: 877.491.5574
  • Fax: 450.491.5225
Support
Head office
425 avenue Mathers, Suite 102
Saint-Eustache, QC J7P 4C1
Legal
Find a broker
Request for Submission
Planiprêt Logo

All rights reserved © 2026 Planiprêt Mortgage Brokerage Firm.

The products and services offered by Planiprêt Mortgage Brokerage Firm are intended only for residents of Quebec.