Application

New client
Pre-approved client
Existing Mortgage client
First home buyer

APPLICANT BACKGROUND

Name

First

Last

Social insurance number

Birth date

No. of dependents

Home phone number

Work phone number

Mobile number

Best time to call:

A.M.
P.M.

Email Address

CO-APPLICANT BACKGROUND

Guarantor

Name

First

Last

Social insurance number

Birth date

No. of dependents

Home phone number

Work phone number

Home fax

Best time to call: (copy)

A.M.
P.M.

Email Address

APPLICANT CURRENT ADDRESS

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

If at current address less than 1 year, provide previous address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

CO-APPLICANT CURRENT ADDRESS

Same as applicant (Check if applicable)

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

If at current address less than 1 year, provide previous address

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

APPLICANT EMPLOYMENT

Employer

Employer address

Position held

How long

Annual salary $

Commission income $

Self-employed income $

If less than 3 years:

Previous Employer

Employer address

Position held

How long

Annual salary $

Commission income $

Self-employed income $

Other income $

Source

CO-APPLICANT EMPLOYMENT

Employer

Employer address

Position held

How long

Annual salary $

Commission income $

Self-employed income $

If less than 3 years:

Previous Employer

Employer address

Position held

How long

Annual salary $

Commission income $

Self-employed income $

Other income $

Source

PROPERTY TYPE

Check applicable

PROPERTY ADDRESS

Check one, as applicable

Owner Occupied
Non-Owner Occupied
Rental

Condo Fees $

/month

Taxes $

/year

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Garage Size

Heat type

Property Age:

(years)

Livable Floor Area:

(excluding basement)

Taxing authority

Gross taxes $

Paid by

PURCHASING

Initial purchase date

Present loan maturity

Initial purchase price $

Present 1st mtge. bal

Est. present value $

Present 2nd mtge. bal

Present lender

Total mtge. financing

FINANCIAL INFORMATION

(Attach separate list if necessary)

ASSETS

Bank Accounts, Cash deposit on purchase, Securities (attach list), RRSP*, Stock, bonds Mutual Funds, Real estate (residence), Auto: make, Accounts & notes receivable, Personal effects, Other assets

LIABILITIES

Bank loans, Autos, Lines of Credit, Long term mortgage, Past due inc. tax, Long term mortgage, Credit Cards, Credit Cards, Other liabilities

OTHER LIABILITIES

Attach rider if space insufficient

Have you guaranteed or co-signed any loans, notes or mortgages?

Yes
No

Have you ever declared bankruptcy?

Yes
No

Are you a defendant in any legal action?

Yes
No

Have there been any judgements against you?

Yes
No

SIGNATURES

SIGNATURES COLLECTION, USE AND DISCLOSURE OF INFORMATION

By signing below, I/we hereby authorize The Mortgage Centre-YourMortgageYourWay.ca hereinafter referred to as the agent to arrange on my/our behalf the loan described above and certify that the above information which is furnished with the intent that it be relied upon by the broker to obtain said credit, is true and correct and I am not in arrears on my present mortgage. The above information includes all my/our debts and that we have no current unsatisfied judgments against us and that I/we have not declared bankruptcy in the last six years and that all my/our outstanding credit are current and in good standing. I/we acknowledge that the agent may also be receiving a finders fee in respect to the arranging of this loan, and I/we hereby waive any right to deny or dispute the agent from receiving said finder fee. In connection with my application for credit, I/we hereby take notice that you may be procuring and may be referring to a consumer report respecting me/us containing personal information and I/we hereby consent thereto and to the disclosure of such information to other credit grantors or consumer reporting agencies and to retain this application for the agent's records.

Applicant X

Date

Co-applicant X

Date

APPLICANT BACKGROUND

CO-APPLICANT BACKGROUND

APPLICANT CURRENT ADDRESS

CO-APPLICANT CURRENT ADDRESS

APPLICANT EMPLOYMENT

CO-APPLICANT EMPLOYMENT

PROPERTY TYPE

PROPERTY ADDRESS

PURCHASING

FINANCIAL INFORMATION

OTHER LIABILITIES

SIGNATURES

Office is Independently Owned and Operated. FSCO #12462
Taylor Stitski, Mortgage Broker, is proud to be part of the national brand – The Mortgage Centre and the local brand YourMortgageYourWay.ca

Office is Independently Owned and Operated. FSCO #12462
Taylor Stitski, Mortgage Broker, is proud to be part of the national brand – The Mortgage Centre and the local brand YourMortgageYourWay.ca

Application

APPLICANT BACKGROUND

CO-APPLICANT BACKGROUND

APPLICANT CURRENT ADDRESS

CO-APPLICANT CURRENT ADDRESS

APPLICANT EMPLOYMENT

CO-APPLICANT EMPLOYMENT

PROPERTY TYPE

PROPERTY ADDRESS

PURCHASING

FINANCIAL INFORMATION

OTHER LIABILITIES

SIGNATURES

Office is Independently Owned and Operated. FSCO #12462Taylor Stitski, Mortgage Broker, is proud to be part of the national brand – The Mortgage Centre and the local brand YourMortgageYourWay.ca

Office is Independently Owned and Operated. FSCO #12462Taylor Stitski, Mortgage Broker, is proud to be part of the national brand – The Mortgage Centre and the local brand YourMortgageYourWay.ca

Office is Independently Owned and Operated. FSCO #12462
Taylor Stitski, Mortgage Broker, is proud to be part of the national brand – The Mortgage Centre and the local brand YourMortgageYourWay.ca

Office is Independently Owned and Operated. FSCO #12462
Taylor Stitski, Mortgage Broker, is proud to be part of the national brand – The Mortgage Centre and the local brand YourMortgageYourWay.ca