Purpose of this application* Refiance Purchase Switch/Renewal Secured Line of Credit
Referred by
1) APPLICANT DETAILS - If there is or will be more than one person on the title of the property to be mortgaged then each person must compete this section 3. However, assets, liabilities and existing property sections don’t have to be completed by other applicant if they are joint with the main applicant. You can also use these pages to provide guarantor details if you plan to have one
Salutation Mr. Mrs. Ms. Dr. Rev. Mess Judge
First Name*
Initial
Last Name*
Birth Date*
YYYY slash MM slash DD
SIN# (Optional)
Marital Status Single Married Common Low Separated Divorced Widowed Other
Work Number
Ext.
Fax Number
Cell Number*
Home Number*
Contact Method Work Phone Home Phone Cell Phone Email Fax
Email Address*
Dependents
Existing Client Yes No
Current Address Unit #
Street #
Street Name
Street Type
City
Province Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Other
Postal Code
Time at Residence:
Years
Months
Status Own Rent Live With Parents Other
Rent Payment
Previous Address (complete only if less than 3 years at current address) Unit #
Street #
Street Name
Street Type
City
Province Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Other
Postal Code
Time at Residence:
Years
Months
Status Own Rent Live With Parents Other
Rent Payment
Employment History Employer Name
Employer Address
City
Province Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Other
Postal Code
Status Current Previous N/A
Type Full Time Part Time Seasonal N/A
Company Type (if Self-Employed) Corporation Sole-Proprietor N/A
Operating As (if Self-Employed)
Gross Revenue (if Self-Employed)
Job Title
Occupation Management Clerical Labour / Tradesperson Retired Professional Self-Employed Other N/A
Industry Sector Construction Government Health Education High-Tech Retail Sales Leisure / Entertainment Banking / Finance Transportation Services Manufacturing Farming / Natural Resources Varies Other N/A
Income Type Salary Hourly Hourly+Commissions Commissions Self-Employed Other N/A
Time at Job:
Years
Months
Time in industry :
Years
Months
Income Amount
Previous Employment History (complete only if less than 3 years with current employer)
Employer Name
Employer Address
City
Province Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Other
Postal Code
Status Current Previous N/A
Type Full Time Part Time Seasonal N/A
Company Type (if Self-Employed)
Operating As (if Self-Employed)
Gross Revenue (if Self-Employed)
Job Title
Occupation Management Clerical Labour / Tradesperson Retired Professional Self-Employed Other N/A
Industry Sector Construction Government Health Education High-Tech Retail Sales Leisure / Entertainment Banking / Finance Transportation Services Manufacturing Farming / Natural Resources Varies Other N/A
Income Type Salary Hourly Hourly+Commissions Commissions Self-Employed Other N/A
Time at Job:
Years
Months
Time in industry :
Years
Months
Income Amount
2ND APPLICANT DETAILS - If there is or will be more than one person on the title of the property to be mortgaged then each person must complete this section 3. However, assets, liabilities, and existing property sections don’t have to be completed by other applicants if they are joint with the main applicant. You can also use these pages to provide guarantor details if you plan to have one.
Salutation Mr. Mrs. Ms. Dr. Rev. Mess Judge
First Name*
Initial
Last Name*
Birth Date*
YYYY slash MM slash DD
SIN# (Optional)
Marital Status Single Married Common Low Separated Divorced Widowed Other
Work Number
Ext.
Fax Number
Cell Number
Home Number
Contact Method Work Phone Home Phone Cell Phone Email Fax
Email Address*
Dependents
Existing Client Yes No
Current Address Unit #
Street #
Street Name
Street Type
City
Province Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Other
Postal Code
Time at Residence:
Years
Months
Status Own Rent Live With Parents Other
Rent Payment
Check if address was the same as applicant #1 Street #
Unit #
Street Name
Street Type
City
Province Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Other
Postal Code
Time at Residence:
Years
Months
Status Own Rent Live With Parents Other
Rent Payment
Employment History Employer Address
Employer Address
City
Province Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Other
Postal Code
Status Current Previous N/A
Type Full Time Part Time Seasonal N/A
Company Type (if Self-Employed) Corporation Sole-Proprietor N/A
Operating As (if Self-Employed)
Gross Revenue (if Self-Employed)
Job Title
Occupation Management Clerical Labour / Tradesperson Retired Professional Self-Employed Other N/A
Industry Sector Construction Government Health Education High-Tech Retail Sales Leisure / Entertainment Banking / Finance Transportation Services Manufacturing Farming / Natural Resources Varies Other N/A
Income Type Salary Hourly Hourly+Commissions Commissions Self-Employed Other N/A
Time at Job:
Years
Months
Time in industry :
Years
Months
Income Amount
Previous Employment History (complete only if less than 3 years with current employer)
Employer Name
Employer Address
City
Province Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Other
Postal Code
Status Current Previous N/A
Type Full Time Part Time Seasonal N/A
Company Type (if Self-Employed)
Operating As (if Self-Employed)
Gross Revenue (if Self-Employed)
Job Title
Occupation Management Clerical Labour / Tradesperson Retired Professional Self-Employed Other N/A
Industry Sector Construction Government Health Education High-Tech Retail Sales Leisure / Entertainment Banking / Finance Transportation Services Manufacturing Farming / Natural Resources Varies Other N/A
Income Type Salary Hourly Hourly+Commissions Commissions Self-Employed Other N/A
Time at Job:
Years
Months
Time in industry :
Years
Months
Income Amount
Other Income
Income Type Interest Income Child Support Alimony Pension Rental Other N/A
Description
Amount
Income Type Interest Income Child Support Alimony Pension Rental Other N/A
Description
Amount
Assets
Type Savings RRSP Vehicle Boat/RV Stocks/Bonds/Mutual Household Goods Other N/A
Description
Amount
Type Savings RRSP Vehicle Boat/RV Stocks/Bonds/Mutual Household Goods Other N/A
Description
Amount
Type Savings RRSP Vehicle Boat/RV Stocks/Bonds/Mutual Household Goods Other N/A
Description
Amount
Type Savings RRSP Vehicle Boat/RV Stocks/Bonds/Mutual Household Goods Other N/A
Description
Amount
Type Savings RRSP Vehicle Boat/RV Stocks/Bonds/Mutual Household Goods Other N/A
Description
Amount
Monthly Liability Obligations - Please use comment section or print another page if you have more liabilities
Type Credit Card Personal Loan Auto Loan Alimony Child Support Auto Lease Student Loan Wage Garnishment Mortgage Arrears Property Tax Arrears Income Tax Arrears Line of Credit Other N/A
Creditor
Balance
Payment
Payoff From Proceeds Prior To Advance No N/A
Type Credit Card Personal Loan Auto Loan Alimony Child Support Auto Lease Student Loan Wage Garnishment Mortgage Arrears Property Tax Arrears Income Tax Arrears Line of Credit Other N/A
Creditor
Balance
Payment
Payoff From Proceeds Prior To Advance No N/A
Type Credit Card Personal Loan Auto Loan Alimony Child Support Auto Lease Student Loan Wage Garnishment Mortgage Arrears Property Tax Arrears Income Tax Arrears Line of Credit Other N/A
Creditor
Balance
Payment
Payoff From Proceeds Prior To Advance No N/A
Type Credit Card Personal Loan Auto Loan Alimony Child Support Auto Lease Student Loan Wage Garnishment Mortgage Arrears Property Tax Arrears Income Tax Arrears Line of Credit Other N/A
Creditor
Balance
Payment
Payoff From Proceeds Prior To Advance No N/A
Type Credit Card Personal Loan Auto Loan Alimony Child Support Auto Lease Student Loan Wage Garnishment Mortgage Arrears Property Tax Arrears Income Tax Arrears Line of Credit Other N/A
Creditor
Balance
Payment
Payoff From Proceeds Prior To Advance No N/A
Type Credit Card Personal Loan Auto Loan Alimony Child Support Auto Lease Student Loan Wage Garnishment Mortgage Arrears Property Tax Arrears Income Tax Arrears Line of Credit Other N/A
Creditor
Balance
Payment
Payoff From Proceeds Prior To Advance No N/A
Type Credit Card Personal Loan Auto Loan Alimony Child Support Auto Lease Student Loan Wage Garnishment Mortgage Arrears Property Tax Arrears Income Tax Arrears Line of Credit Other N/A
Creditor
Balance
Payment
Payoff From Proceeds Prior To Advance No N/A
Type Credit Card Personal Loan Auto Loan Alimony Child Support Auto Lease Student Loan Wage Garnishment Mortgage Arrears Property Tax Arrears Income Tax Arrears Line of Credit Other N/A
Creditor
Balance
Payment
Payoff From Proceeds Prior To Advance No N/A
2 ) EXISTING PROPERTIES Please complete this page only if you already own your home. If you have more than one property then please complete this page for each property you own.
Owner Applicant #1 Applicant #2
Occupancy Owner Occupied Owner Ocupied + Rental Rental Second Home/Cottage N/A
Property Zoning Residential Rural Residential Multi-Family Residential Farm / Agricultural Commercial Industrial Other
Unit#
Street #
Street Name
Street Type
City
Province Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Other
Postal Code
Current Property Value
Original Purchase
Purchase price
Purchase Date
YYYY slash MM slash DD
Included in Mortgage Yes No N/A
Condo Fees
Additional property information
Legal Description
Number of Units One Two Three Four Five Six Seven Eight Nine Ten Eleven Twelve Other N/A
Property Type Detached Semi-Detached Duplex Triplex Fourplex Apartment Low Rise Apartment High Rise Modular Home Mobile Home Vacant Land Building Lot N/A
Property Style One Storey Bi-Level Two Storey Split Level Storey and a Half Three Storey Other N/A
Tenure Freehold Leasehold Condo N/A
Property Age
Living Space
Square Feet Meters N/A
Lot Size
Area Sq Ft Sq M Acres Hectares N/A
Garage Size Attached Detached None N/A
Garage Type Single Double Triple None N/A
Heat Source Electric Baseboard Forced Air Gas/Oil/Electric Hot Water Heating Other N/A
Water Info Municipal Well N/A
Sweage Info Municipal Septic Holding Tank N/A
1st Mortgage Info
Mortgage type First Second Third Free & Clear N/A
Balance Owing
Mortgage Payment
Payment Fequency Monthly Semi-Monthly Biweekly Accelerated Biweekly Weekly Accelerated Weekly N/A
Maturity Date
YYYY slash MM slash DD
Interest Rate
Rate Type Fixed Adjustable Variable Capped Variable N/A
Term Type Closed Open Convertible N/A
Mortgage Holder
Payoff This Mortgage From Proceeds Prior To Advance No N/A
Loan Type Mortgage Secured LOC N/A
Original Mortgage
Mortgage Number
CMHC Insurance Number
Mortgage Insurer CMHC GENWORTH AIG NOT INSURED N/A
2nd Mortgage Info
Mortgage type First Second Third Free & Clear N/A
Balance Owing
Mortgage Payment
Payment Fequency Monthly Semi-Monthly Biweekly Accelerated Biweekly Weekly Accelerated Weekly N/A
Maturity Date
YYYY slash MM slash DD
Interest Rate
Rate Type Fixed Adjustable Variable Capped Variable N/A
Term Type Closed Open Convertible N/A
Mortgage Holder
Payoff This Mortgage From Proceeds Prior To Advance No N/A
Loan Type Mortgage Secured LOC N/A
Original Mortgage Amount
3) FINAL QUESTIONS
1. Are there any unsatisfied judgments/collections or problems on your credit? If Yes - please explain.
2. Do you have any liens against your property. If yes -- please explain.
3. Have you declared a bankruptcy or consumer proposal in the past 7 years? If so, when was it discharged?
4. Is your fire insurance up to date?
5. Do you have mortgage arrears or were you paying more than 30 days late in the last 12 months?
6. Do you have property or personal tax arrears? If yes, please explain how much do you owe and for which years.
7. Have you applied for a mortgage in the last 60 days or do you currently have pending applications with another banks or brokers?
8. Please provide your closing solicitor name, address, phone and fax info. If you do not have one yet I will refer you to one.
9. Have you done a budget recently?
10. Comments - Please use the space below to provide additional info, explain your goals and/or objectives. Please advise of any plans that you are aware of that may have an effect on your finances - for example, plans to have a child, educational expenses, retirement, starting a business, cottage purchase, vehicle purchases, investing, employment change.
Canada’s new Anti-Spam Legislation is effective as of July 1, 2014. Under this new legislation, I am required to obtain your consent in order to send you communcations about the latest mortgage news, events, products, and services.
To Agree to receive electronic communications, please initial in this box* I/we warrant and confirm that the information given in the mortgage application form is true and correct and I/we understand that it is being used to determine my/our credit responsibility. You are authorized to obtain any information you may require for these purposes from other sources (including, for example, credit bureau) and each source is hereby authorized to provide you with such information. I/we also understand that the information is given in the application form, as well as other information you obtain in relation to my credit history, may be disclosed in writing, including fax, e-mail, or other electronic transmissions with potential lenders, financial intermediary, and mortgage insurers, organizations providing technological or other support services required in relation to this application and any other of the parties with whom I/we propose to have a financial relationship. I/we further understand that any potential lender, financial intermediary, or any other of the aforementioned parties to whom this information is forwarded may obtain its own credit report and I/we hereby authorize those parties to do so. I/we confirm that I/we read and understand the above.
This application was completed on this date:*
YYYY slash MM slash DD
Applicant 1 Signature Applicant 2 Signature Applicant 3 Signature Guarantor Signature 