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Mortgage Details

{freeform:field:purpose_of_loan}
{freeform:field:value_of_home}
{freeform:field:mortgage_amount_required}
{freeform:field:approx_date_funds_required attr:placeholder="MM/DD/YYYY"}

Personal Information - Applicant #1

Identification

{freeform:label:title_applicant_1} {freeform:field:title_applicant_1}
{freeform:label:first_name_applicant_1} {freeform:field:first_name_applicant_1}
{freeform:label:last_name_applicant_1} {freeform:field:last_name_applicant_1}
{freeform:label:initial_applicant_1} {freeform:field:initial_applicant_1}
{freeform:label:date_of_birth_applicant_1} {freeform:field:date_of_birth_applicant_1 attr:placeholder="MM/DD/YYYY"}
{freeform:label:sin_applicant_1} {freeform:field:sin_applicant_1}
{freeform:label:home_phone_applicant_1} {freeform:field:home_phone_applicant_1}
{freeform:label:work_phone_applicant_1} {freeform:field:work_phone_applicant_1}
{freeform:label:email_address_applicant_1} {freeform:field:email_address_applicant_1}
{freeform:label:applicant_1_marital_status} {freeform:field:applicant_1_marital_status}
{freeform:label:applicant_1_children} {freeform:field:applicant_1_children}

Current Living Address

{freeform:label:address_applicant_1} {freeform:field:address_applicant_1}
{freeform:label:city_town_applicant_1} {freeform:field:city_town_applicant_1}
{freeform:label:province_applicant_1} {freeform:field:province_applicant_1}
{freeform:label:postal_code_applicant_1} {freeform:field:postal_code_applicant_1}
{freeform:label:residential_status_applicant_1} {freeform:field:residential_status_applicant_1}
{freeform:label:monthly_rent_payments_applicant_1} {freeform:field:monthly_rent_payments_applicant_1}
{freeform:label:applicant_1_years} {freeform:field:applicant_1_years}

Present Employer

{freeform:label:occupation_type_applicant_1} {freeform:field:occupation_type_applicant_1}
{freeform:label:industry_sector_applicant_1} {freeform:field:industry_sector_applicant_1}
{freeform:label:name_of_employer_applicant_1} {freeform:field:name_of_employer_applicant_1}

Employer Address:

{freeform:label:address_applicant_1_employer} {freeform:field:address_applicant_1_employer}
{freeform:label:city_town_applicant_1_employer} {freeform:field:city_town_applicant_1_employer}
{freeform:label:province_applicant_1_employer} {freeform:field:province_applicant_1_employer}
{freeform:label:postal_code_applicant_1_employer} {freeform:field:postal_code_applicant_1_employer}
{freeform:label:length_of_employment_applicant_1} {freeform:field:length_of_employment_applicant_1 attr:placeholder="YY/MM"}
{freeform:label:years_in_line_of_business_applicant_1} {freeform:field:years_in_line_of_business_applicant_1 attr:placeholder="YY/MM"}
{freeform:label:annual_income_applicant_1} {freeform:field:annual_income_applicant_1 attr:placeholder="$0"}
{freeform:label:type_of_income_applicant_1} {freeform:field:type_of_income_applicant_1}
{freeform:label:other_income_source_applicant_1} {freeform:field:other_income_source_applicant_1}
{freeform:label:other_income_amount_applicant_1} {freeform:field:other_income_amount_applicant_1}
{freeform:label:notes_for_applicant_1} {freeform:field:notes_for_applicant_1}

Personal Information - Applicant #2

Identification

{freeform:label:title_applicant_2} {freeform:field:title_applicant_2}
{freeform:label:first_name_applicant_2} {freeform:field:first_name_applicant_2}
{freeform:label:last_name_applicant_2} {freeform:field:last_name_applicant_2}
{freeform:label:initial_applicant_2} {freeform:field:initial_applicant_2}
{freeform:label:date_of_birth_applicant_2} {freeform:field:date_of_birth_applicant_2 attr:placeholder="MM/DD/YYYY"}
{freeform:label:sin_applicant_2} {freeform:field:sin_applicant_2}
{freeform:label:home_phone_applicant_2} {freeform:field:home_phone_applicant_2}
{freeform:label:work_phone_applicant_2} {freeform:field:work_phone_applicant_2}
{freeform:label:email_address_applicant_2} {freeform:field:email_address_applicant_2}
{freeform:label:applicant_2_marital_status} {freeform:field:applicant_2_marital_status}
{freeform:label:applicant_2_children} {freeform:field:applicant_2_children}

Current Living Address

{freeform:label:address_applicant_2} {freeform:field:address_applicant_2}
{freeform:label:city_town_applicant_2} {freeform:field:city_town_applicant_2}
{freeform:label:province_applicant_2} {freeform:field:province_applicant_2}
{freeform:label:postal_code_applicant_2} {freeform:field:postal_code_applicant_2}
{freeform:label:residential_status_applicant_2} {freeform:field:residential_status_applicant_2}
{freeform:label:monthly_rent_payments_applicant_2} {freeform:field:monthly_rent_payments_applicant_2}
{freeform:label:applicant_2_years} {freeform:field:applicant_2_years}

Present Employer

{freeform:label:occupation_type_applicant_2} {freeform:field:occupation_type_applicant_2}
{freeform:label:industry_sector_applicant_2} {freeform:field:industry_sector_applicant_2}
{freeform:label:name_of_employer_applicant_2} {freeform:field:name_of_employer_applicant_2}

Employer Address:

{freeform:label:address_applicant_2_employer} {freeform:field:address_applicant_2_employer}
{freeform:label:city_town_applicant_2_employer} {freeform:field:city_town_applicant_2_employer}
{freeform:label:province_applicant_2_employer} {freeform:field:province_applicant_2_employer}
{freeform:label:postal_code_applicant_2_employer} {freeform:field:postal_code_applicant_2_employer}
{freeform:label:length_of_employment_applicant_2} {freeform:field:length_of_employment_applicant_2 attr:placeholder="YY/MM"}
{freeform:label:years_in_line_of_business_applicant_2} {freeform:field:years_in_line_of_business_applicant_2 attr:placeholder="YY/MM"}
{freeform:label:annual_income_applicant_2} {freeform:field:annual_income_applicant_2 attr:placeholder="$0"}
{freeform:label:type_of_income_applicant_2} {freeform:field:type_of_income_applicant_2}
{freeform:label:other_income_source_applicant_2} {freeform:field:other_income_source_applicant_2}
{freeform:label:other_income_amount_applicant_2} {freeform:field:other_income_amount_applicant_2}
{freeform:label:notes_for_applicant_2} {freeform:field:notes_for_applicant_2}

Financial Information

Assets

Type Where/Financial Institution(s) Amount/ Value
Cash in bank {freeform:field:where_financial_institutions_cash_in_bank} {freeform:field:amount_value_cash_in_bank attr:placeholder="$0"}
Deposit on property being purchased (if applicable)
{freeform:field:amount_value_deposit_on_property_being_purchased attr:placeholder="$0"}
Automobile: present value {freeform:field:where_financial_institutions_automobile_present_value} {freeform:field:amount_value_automobile_present_value attr:placeholder="$0"}
Value of present home (if owned)
{freeform:field:amount_value_value_of_present_home attr:placeholder="$0"}
Investment/vacation properties {freeform:field:where_financial_institutions_investment_vacation_properties} {freeform:field:amount_value_investment_vacation_properties attr:placeholder="$0"}
Stocks, bonds, Mutual funds etc. {freeform:field:where_financial_institutions_stocks_bonds_mutual_funds} {freeform:field:amount_value_stocks_bonds_mutual_funds attr:placeholder="$0"}
RRSP's {freeform:field:where_financial_institutions_rrsps} {freeform:field:amount_value_rrsps attr:placeholder="$0"}
Other Assets {freeform:field:where_financial_institutions_other_assets} {freeform:field:amount_value_other_assets attr:placeholder="$0"}

Liabilities

Type Where/Financial Institution(s) Balance Owing Monthly Payment
Bank Loans {freeform:field:where_financial_institutions_bank_loans} {freeform:field:balance_owing_bank_loans attr:placeholder="$0"} {freeform:field:monthly_payment_bank_loans attr:placeholder="$0"}
Credit Cards {freeform:field:where_financial_institutions_credit_cards} {freeform:field:balance_owing_credit_cards attr:placeholder="$0"} {freeform:field:monthly_payment_credit_cards attr:placeholder="$0"}
Owing on Automobile {freeform:field:where_financial_institutions_owing_on_automobile} {freeform:field:balance_owing_owing_on_automobile attr:placeholder="$0"} {freeform:field:monthly_payment_owing_on_automobile attr:placeholder="$0"}
Amount owing on first mortgage {freeform:field:where_financial_institutions_amount_owing_on_first_mortgage} {freeform:field:balance_owing_amount_owing_on_first_mortgage attr:placeholder="$0"} {freeform:field:monthly_payment_amount_owing_on_first_mortgage attr:placeholder="$0"}
Amount owing on second mortgage {freeform:field:where_financial_institutions_amount_owing_on_second_mortgage} {freeform:field:balance_owing_amount_owing_on_second_mortgage attr:placeholder="$0"} {freeform:field:monthly_payment_amount_owing_on_second_mortgage attr:placeholder="$0"}
Mortgage Number on first mortgage {freeform:field:where_financial_institutions_mortgage_number_on_first_mortgage}

Finance company loans and other debts {freeform:field:where_financial_institutions_finance_company_loans_and_other_debts} {freeform:field:balance_owing_finance_company_loans_and_other_debts attr:placeholder="$0"} {freeform:field:monthly_payment_finance_company_loans_and_other_debts attr:placeholder="$0"}
Alimony/Child Support

{freeform:field:monthly_payment_alimony_child_support attr:placeholder="$0"}
{freeform:label:note_to_broker} {freeform:field:note_to_broker}

I/we warrant and confirm that the information given in the mortgage application form is true and correct and I/we understand that it is being used to determine my/our credit responsibility. You are authorized to obtain any information you may require for these purposes from other sources (including, for example, credit bureau) and each such source is hereby authorized to provide you with such information. I/we also understand that the information given in the mortgage application form as well as other information you obtain in relation to my credit history may be disclosed to potential mortgage lenders, financial intermediary and mortgage insurers, organizations providing technological or other support services required in relation to this application and any other parties with whom I/we propose to have a financial relationship.

Online Applications

Please read the paragraph above prior to sending completed application. By transmitting the online mortgage application you are accepting the terms of the paragraph noted above.

{freeform:submit} {/exp:freeform:form}