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Mortgage Application
Applying For
Term
Amortization
Purchase – have not found a home yet
Pre-Qualify
Purchase
Refinance
Switch/ Transfer
Second Mortgage
Purchase-have a signed realtor contract
Renewal
Home Equity Line Of Credit
Debt Consolidation
Purchase – Have not found home yet
Purchase – Just researching my options
Cash Out For Home Improvement
6 months
1 year
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6 months
1 year
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32 years
33 years
34 years
35 years
36 years
37 years
38 years
39 years
40 years
Your Credit
Excellent
Good
Average
Poor
Very Poor
Other
Purchase/ Pre-Qualify
Purchase Price
Down Payment
Mortgage Amount
Province
Down Payment Source
Sale of Existing Property
Personal Cash/ Savings
RRSP
Gift
Grant
Inheritance
Borrowed from Friend/ Family
Borrowed Against Liquid Assets
Sweat Equity
Existing Equity
Secondary Financing
Investments
Other
Applicant Information
Salutation
First Name
Last Name
–None–
Mr.
Ms.
Mrs.
Dr.
Prof.
Birth Date
Marital Status
Dependants
Single
Married
Common-Law
Divorced
Widowed
Separated
Other
?None?
–None–
0
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15
Phone
Mobile
Work Phone
Fax
Email
Best Time To Contact
Preferred Method
Morning
Lunch
Afternoon
Evening
Anytime
Home Phone
Work Phone
Cell Phone
Email Address
Phone
Address
City
Province
–None–
Alberta
British Columbia
Saskatchewan
Manitoba
Ontario
Nova Scotia
New Brunswick
Postal
How Long
Annual Income
1
2
3
4
5
6
7
8
9
10+
Employment Status
Current Employer
Occupation
Full Time
Part Time
Self Employed
Commission
Retired
Student
Unemployed
Employment Address
Employment City
Employment Province
–None–
Alberta
British Columbia
Saskatchewan
Manitoba
Ontario
Nova Scotia
New Brunswick
Employment Postal
Employment How Long
1
2
3
4
5
6
7
8
9
10
10+
Will there be a Co Applicant applying?
Comments
Rates subject to change with out notice. OAC E&OE
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