Auto Conversion Application — Canada

Tell us about your vehicle and current auto loan, and we will be in touch about converting it to riba-free financing.

BORROWER(Required)

First Middle Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Date of Birth

Enter your contact number(Required)

Please enter your PHONE NUMBER

Email(Required)

Do you have a co-borrower?

YES

CO-BORROWER

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Date of Birth

Contact number

Please enter your PHONE NUMBER

VEHICLE DETAILS

Vehicle Make and Model

Registered Year

LOAN DETAILS

How would you like to share your loan details?(Required)

Upload my loan documents

Enter the details myself

Upload your loan documents(Required)

Drop files here or

Accepted file types: pdf, jpg, jpeg, png, heic, Max. file size: 10 MB, Max. files: 5.

Your current loan statement or loan agreement, showing the lender, loan number, balance, rate and monthly payment. PDF, JPG, PNG or HEIC; up to 5 files, 10 MB each.

Lender Name(Required)

Loan Number

Next Payment Day

Purchase Price

Down Payment

Loan Amount(Required)

Rate

Term of Loan

Current Monthly Payment(Required)

Ijara™ Fee Agreement

The Borrower named above, hereafter referred to as “applicant(s)”, have requested to apply for a residential mortgage conversion from a participating lender utilizing the Ijara™ Lease to Own program, a Sharia Compliant transaction.

Applicant(s) acknowledges and agrees to the following:

1) The monthly administration fee for the Ijara™ transaction is $7.50 and is added to your monthly payment.
2) You must have a checking account or savings account that can be electronically debited on a monthly basis via ACH transaction on either the 1st or the 5th of each month.

By signing on the next page, the applicant acknowledges receipt of a copy of this signed Agreement.

Signature (BORROWER) (type your full legal name)

Typing your full legal name here serves as your electronic signature.

Signed by:

First Last

Date signed: