Ledgemark Homes - Craftsmanship and innovation is our trademark

Broker Information (if applicable)

Broker Name

Brokerage Name

Broker Phone Number

Broker Email:

Block & Unit Preference (Not Guaranteed)

Block #

Unit #

Model

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The Dove Layout Option

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The Robin Layout Option

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The Cardinal Layout Option

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Purchaser 1

First name

Last name

Address:

City:

Postal Code:

Phone (Primary):

E-mail:

Date of Birth (mm/dd/yyyy)

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SIN#:

ID #(Driver's License, Passport, Ontario ID):

ID Expiry Date (mm/dd/yyyy)

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Occupation:

Company Name:

Upload Valid Photo ID:

Add Second Purchaser:

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Purchaser 2

First name

Last name

Address:

City:

Postal Code:

Phone (Primary):

E-mail:

Date of Birth (mm/dd/yyyy)

/ /

SIN#:

ID #(Driver's License, Passport, Ontario ID):

ID Expiry Date (mm/dd/yyyy)

/ /

Occupation:

Company Name:

Upload Valid Photo ID:

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Additional Information

Citizenship:

Marital Status:

Buyer Type:

How Did You Hear About Us?

For the purposes of facilitating compliance with the provisions of any applicable Federal and/or Provincial privacy legislation (including without limitation, the Personal Information Protection and Electronic Documents Act, S.C. 2000, as amended (“PIPEDA”), the prospective purchaser(s) (individually or collectively, the “Purchaser”) hereby consents to the Vendor’s collection and use by the Vendor’s employees, authorized agents and sales representatives of the Purchaser’s personal information necessary and sufficient to enable the Vendor to proceed with populating the contemplated agreement of purchase and sale for a designated lot or unit within the subject development including, without limitation, the Purchaser’s name, home address, e-mail address, facsimile/telephone number, age, date of birth, marital status, residency status, social insurance number and financial information, in connection with initiating the process of entering into a prospective real estate transaction as well as for post-closing and after-sales customer care purposes and to the disclosure and/or distribution of any or all of such personal information in the commercially reasonable discretion of the Vendor to, without limitation, any of the Vendor’s employees, authorized agents, sales representatives, financial institutions, consultants as well as legal and accounting professionals as may be required to facilitate the above.

206 Main St. Unit #2
Unionville, ON
L3R 2G9
905-479-6446 info@ledgemarkhomes.com