Mortgage Reference #:
CG Certificate #:
Mortgage Payment
Amount ($):
Mortgage Payment Includes:
Payment Frequency:
Estimated LTV: (%)
(If known)
Outstanding
Principal Balance ($):
Outstanding Mortgage
Balance as of:
(dd/mm/yyyy)
Last Mortgage Payment Made:
(dd/mm/yyyy)
Next Mortgage Payment Due:
(dd/mm/yyyy)
Mortgage Payments are up
to Date:
# of Mortgage Payments in Arrears:
Property Taxes are up
to Date with Municipality:
Property Tax Arrears ($):
Condo Fees are up to Date: Condo Arrears ($):
Remaining Amortization:
(Months)
Prior Workout Date
and Details:
(If applicable)
Mortgage Payment
History Comments:
Reason for Current
Workout Request:
REQUIRED
Lender's Workout
Recommendation:
Loss Management Department
Homeownership Solutions Program
WORKOUT REQUEST FORM
Please submit all requests to:
Tel: 1.866.414.9109 ext. 7001 | Fax: 1.866.668.7043
Canada Guaranty Mortgage Insurance Company
1 Toronto Street, Suite 400 Toronto, ON M5C 2V6
lossmanagement@canadaguaranty.ca
Property Address:
(Please include street address, city, province,
postal code)
Borrower Names:
Lender Contact Info:
(Name, email and/or phone number)
FORM | Workout Request
LM_WRF-0121
YES
NO
YES
NO
NO
YES
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