MORTGAGE APPLICATION
In order to qualify for a mortgage I require the following information. This is not a secured site so please PRINT this form, fill out completely and fax to 905-428-2292. I ONLY collect personal information to provide professional services to my clients and customers. I do not sell, trade, transfer, rent or exchange your personal information with anyone.
Type of Loan: New Mortgage ____ Refinanced ____
Date Funds Needed: ____________________________________________
Personal Information:
Name: _________________________________________________________
Present Address: _______________________________________________
City: _____________________________ Postal Code: ________________
How Long at Current Address: ___________________________________
Previous Address (if less than 2 yrs): ____________________________
____________________________
Social Insurance Number: _______________________________________
Date of Birth: __________________________________________________
E-Mail: ________________________________________________________
Home Phone Number: __________________________________________
Business Phone Number: _______________________________________
Employment
Current Employer: ______________________________________________
How Long: _____________________________________________________
Gross Annual Income: __________________________________________
Occupation: ____________________________________________________
Current Employer's Address: _____________________________________
Phone Number: _________________________________________________
Previous Employer (if less than 2 yrs): ____________________________
How Long: ______________________________________________________
Gross Annual Income: ___________________________________________
Previous Employers Address: _____________________________________
Co-Applicant Personal Information
Name: _________________________________________________________
Present Address: _______________________________________________
City: _____________________________ Postal Code: ________________
How Long at Current Address: ___________________________________
Previous Address (if less than 2 yrs): ____________________________
____________________________
Social Insurance Number: _______________________________________
Date of Birth: __________________________________________________
E-Mail: ________________________________________________________
Home Phone Number: __________________________________________
Business Phone Number: _______________________________________
Employment
Current Employer: ______________________________________________
How Long: _____________________________________________________
Gross Annual Income: __________________________________________
Occupation: ____________________________________________________
Current Employer's Address: _____________________________________
Phone Number: _________________________________________________
Previous Employer (if less than 2 yrs): ____________________________
How Long: ______________________________________________________
Gross Annual Income: ___________________________________________
Previous Employers Address: _____________________________________
Additional Information
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