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Mortgage Details

Personal Information - Applicant #1

Identification

Title
First Name
Last Name
Initial
Date of Birth
SIN #
Home Phone
Work Phone
Email Address

Current Living Address

Address
City/Town
Province
Postal Code
Residential Status
Monthly Rent Payments

Present Employer

Occupation Type
Industry Sector
Name of Employer

Employer Address:

Address
City/Town
Province
Postal Code
Length of Employment
Years in Line of Business
Annual Income
Type of Income
Other Income Source
Other Income Amount
Notes for Applicant #1

Personal Information - Applicant #2

Identification

Title
First name
Last Name
Initial
Date of Birth
SIN #
Home Phone
Work Phone
Email Address

Current Living Address

Address
City/Town
Province
Postal Code
Residential Status
Monthly Rent Payments

Present Employer

Occupation Type
Industry Sector
Name of Employer

Employer Address:

Address
City/Town
Province
Postal Code
Length of Employment
Years in Line of Business
Annual Income
Type of Income
Other Income Source
Other Income Amount
Notes for Applicant #2

Financial Information

Assets

Type Where/Financial Institution(s) Amount/ Value
Cash in bank
Deposit on property being purchased (if applicable)
Automobile: present value
Value of present home (if owned)
Investment/vacation properties
Stocks, bonds, Mutual funds etc.
RRSP's
Other Assets

Liabilities

Type Where/Financial Institution(s) Balance Owing Monthly Payment
Bank Loans
Credit Cards
Owing on Automobile
Amount owing on first mortgage
Amount owing on second mortgage
Mortgage Number on first mortgage

Finance company loans and other debts
Alimony/Child Support

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.