Applicant Co-Applicant Assets & Liabilities Mortgage Details Property Description

Applicant

Mortgage financing application - page 1 of 5

• Identification First name Last name Email SIN
• Birthdate / DD / MM YYYY Marital Status # Dependants Home # Cell #
• Address Street Address City Province Postal Code
• Own/Rent Monthly $ How long at present address?
• Previous Address (if current is less than 3 years) Street Address City Province Postal Code
• Employer Employer Occupation Business phone How long? Annual income
• Previous Employer Previous Occupation How long? . Previous Annual income
• Other income . Amount Source

Co-Applicant Form

Applicant Assets & Liabilities Mortgage Details Property Description

Co-Applicant

Mortgage financing application - page 2 of 5

• Identification First name Last name Email SIN
• Birthdate DD MM YYYY Marital Status Dependants Home # Cell #
• Address Street Address City Province Postal Code
• Own/Rent Monthly $ How long at present address?
• Previous Address (if current is less than 3 years) Street Address City Province Postal Code
• Employer Employer Occupation Business phone How long? Annual income
• Previous Employer Previous Occupation How long? . Previous Annual income
• Other income . Amount Source

Assets & Liabilities

Applicant Co-Applicant Mortgage Details Property Description

Assets and Liabilities

Mortgage financing application - page 3 of 5

• Savings in the Bank $ With
• Real Estate Present Value $ Original purchase price $
• Investments Mutual Funds/Stocks/Bonds $ RRSP $
• Automobile Value $ Year Make/Model
• Other Assets $
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• Bank loan Balance Payment
• Credit Card (1) Balance Payment
• Credit Card (2) Balance Payment
• Line of Credit Balance Payment
• Other Loans Balance Payment
• Mortgage Balance Payment Original Rate % Maturing DD MM YYYY
• Purpose (please provide a brief explanation)

Mortgage Details

Applicant Co-Applicant Assets & Liabilities Property Description

Details of new mortgage required

Mortgage financing application - page 4 of 5

• Estimated value $
• Equity $
• Mortgage needed $
• Source of payment Borrowed funds RRSP / GIC Gift Cash savings Other
• If "other" provide details
• Referred by

Property Description

Applicant Co-Applicant Assets & Liabilities Mortgage Details

Property Description

Mortgage financing application - page 5 of 5

• Municipal address Street Address City Province Postal Code
• Legal description
• Garage
• Sq Feet
• Condo fees $
• Property Taxes $
• Closing date DD MM YYYY