Should you decide that you wish to take advantage of Pre-Approval, simply complete this confidential mortgage application. We will locate the most competitive mortgage rate and the lowest closing costs possible and process your application without any cost or obligation.
After completing this form, click the Submit button at the bottom of the form to send it.
Fields marked * are required.
Do you have a specific agent that you would prefer to work with?:
* Full Name:
Date Of Birth:
Soc. Insurance #:
* Res. Phone:
Bus. Phone:
E-mail Address:
Address:
Years at Present Address:
Own
$ orRent
$
Previous Address:
Marital Status:
MarriedSeparated
Single
Divorced
Common Law
Widowed
Occupation (Position & Title):
# of years:
Place of Employment (Name & Address):
Previous Employer (Name & Address):
# of years:
Co-Purchaser (Full Name):
Date Of Birth:
Soc. Insurance #:
Res. Phone:
Bus. Phone:
Address:
Years at Present Address:
Own $ orRent $/month
Previous Address:
Marital Status:
MarriedSeparated
Single
Divorced
Common Law
Widowed
Occupation (Position & Title):
# of years:
Place of Employment (Name & Address):
Previous Employer (Name & Address):
# of years:
Gross Annual Income:
Purchaser
Co-Purchaser
Base Salary:
$
$
Overtime:
$
$
Bonuses:
$
$
Commissions:
$
$
Dividends:
$
$
Net Rental Income:
$
$
Other:
$
$
Total:
$
$
Purchaser Self-Employed?
Yes
No
Co-Purchaser Self-Employed?
Yes
No
Do You Intend To Occupy
This Property?
Yes
No
Number of Children:
Ages:
Other Dependents:
Assets:
Checking:
$
Bank
$
Bank
Savings:
$
Bank
$
Bank
Credit Union:
$
Bank
Stocks:
$
Bonds:
$
Life Insurance:
$
Present Residence (If Owned):
Market Value:
$
Morg. Value:
$
Lender:
Other Assets (Specify):
Liabilities:
(List outstanding obligations including auto loans, mortgage payments, credit cards,
personal loans, and all other loans.)
Type
Creditors Name
Unpaid Balance
Monthly Payment
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
Total:
$
Additional Monthly Obligations:
Lease Obligations:
$
Alimony:
$
Child Support:
$
Child Care:
$
Are There Any Judgements or Lawsuits Present?
Yes
No
Amount:
$
Is Any Part of the Down Payment or Settlement Costs Being Obtained From a Source Other Than From Assets Listed Above?
Yes
No
Have any of the applicants ever filed for Bankruptcy?
Yes
No
If Yes, Date Dicharged (mm/dd/yy):
Which Applicant?Primary
Co-Applicant
Applicant's Loan Request
Purpose Of Loan:
Loan Amount Requested:
$
Amoritization Desired:
Payment Desired:
Date Funds Required:
Special Privileges & Conditions Desired:
Proposed Security/Collateral to be Pledged:
* Yes. I agree to the following Terms and Conditions...
I/We warrant and confirm that the information given in the mortgage application form is true and correct and I/we understand that it being used to determine my/our credit responsibility and to evaluate and respond to my/our request for mortgage financing. You are authorized to obtain any information you may require for these purposes from other sources (including, for example, credit bureaux) and each source is hereby authorized to provide you with such information. I/We also understand, acknowledge and agree 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, mortgage insurers, other service providers, 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.
I/We further acknowledge and agree that each potential mortgage lender, mortgage insurer or service provider to whom you provide the mortgage application and/or my/our personal information is permitted to receive such application and information and maintain records relating to me/us and my/our mortgage application and to hold, use, communicate and disclose personal information about me/us, including my Social Insurance Number (Sin) if I/we provide it, and collect personal information from me/us, you and from third persons, including credit bureaux, credit reporting and collection agencies, financial institutions, my/our past and present employers, creditors and tenants, my/our spouse or any other person who has information about me/us for the purposes of recording, evaluating and responding to my/our application for mortgage financing or related activities and I/we specifically consent to the release and disclosure of personal information by such persons to and among you and each potential mortgage lender, mortgage insurer or other service provider.
