Corporate Office:
Unit 10, 4321 Veterans Way
Edmonton Alberta T5E 6N4

Mortgage Application

Please fill out the following application form and click the submit button when completed. If you have any questions regarding any of the fields, please me at 780-905-1160.

If you would rather, you can download the application as a pdf, fill it out and fax it to me at 780-634-9398.

Thank you,
Chris Clarke, Mortgage Associate

Details of Mortgage Loan Required
Purpose of Financing
Purchase Price or Value of Property to be Mortgaged $
Amount of Mortgage Needed $
Closing Date or Estimated Date Funds Required
Source of Downpayment (where the $ are from, e.g. equity, gift, savings)
Downpayment Amount $

First Applicant:
Personal Information
First Initial Last Social Insurance #
Date of Birth (mm/dd/yyyy)
Address:
Street Street Type Direction
City Postal Code Unit #
# years #months (If less than 3-years, please fill out below)
Street Street Type Direction
City Postal Code Unit #
# years # months
Home Phone Work Phone Extension
I currently: Rent Own
Email
Income:
Current Employer # years # months
Occupation Type Industry
Employer Address
Gross Annual Income $ Type of Income
If less than 3-years, please fill out below:
Previous Employer # years # months
Occupation Type Industry
Employer Address
Gross Annual Income $ Type of Income
Other Income (from) Amount $

Applicant 1: Financial Net Worth - ASSETS
If assets are joint (between both applicants), please list under Applicant 1 and do not duplicate.
Cash in Bank	Located at
Principle Residence Value
Rental/Other Property Value(s)	Monthly Income
RRSP's Value
Non-resistered Investments Value
Automobiles Value	Year/Make
	Year/Make
Other Assets	Description

Applicant 1: Financial Net Worth - DEBTS
Mortgage on Principle Residence ($)	Monthly Payment
Mortgage on Rental Property ($)	Monthly Payment
Lines of Credit ($)	Monthly Payment
Credit Cards - Total Amounts Owing	Monthly Payment
Car Loans Total Amounts Owing	Monthly Payment
Personal Loans Total Amounts Owing	Monthly Payment
Co-signed Loans, Mortgages, Credit	Monthly Payment
Other Payments	Monthly Payment
Comments for First Applicant

Co-Applicant:
Personal Information
First Initial Last Social Insurance #
Date of Birth (mm/dd/yyyy)
Current Address:
Street Street Type Street Direction
City Postal Code Unit #
# years #months (If less than 3-years, please fill out below)
Street Street Type Street Direction
City Postal Code Unit #
# years # months
Home Phone Work Phone Extension
Email
Income:
Current Employer # years # months
Occupation Type Industry
Employer Address
Gross Annual Income $ Type of Income
If less than 3-years, please fill out below:
Previous Employer # years # months
Occupation Type Industry
Employer Address
Gross Annual Income $ Type of Income
Other Income (from) Amount $

Co-Applicant: Financial Net Worth - ASSETS
Cash in Bank	Located at
Principle Residence Value
Rental/Other Property Value(s)	Monthly Income
RRSP's Value
Non-resistered Investments Value
Automobiles Value	Year/Make
	Year/Make
Other Assets	Description

Co-Applicant: Financial Net Worth - DEBTS
Mortgage on Principle Residence ($)	Monthly Payment
Mortgage on Rental Property ($)	Monthly Payment
Lines of Credit ($)	Monthly Payment
Credit Cards - Total Amounts Owing	Monthly Payment
Car Loans Total Amounts Owing	Monthly Payment
Personal Loans Total Amounts Owing	Monthly Payment
Co-signed Loans, Mortgages, Credit	Monthly Payment
Other Payments	Monthly Payment

Comments for Co-Applicant

Description of Property to be Mortgaged
For a pre-approval, please omit.
Street City Postal Code
Age of Property Heating Type Heat Month $
Size of Property: . SQ. FT. Sq. Metres
Size of Lot: SQ. FT. SQ. METERS
Taxes This property is on MLS system Yes No
Value of Property $
I have written an offer on this property Yes No

Refinance Information
(Please only fill out if you want to refinance your property or renew your mortgage)
Original Purchase Date (dd/mm/yyyy) Original Mortgage Amount $
Original Purchase Price Current Mortgage Lender
Current Mortgage Balance Mortgage Renewal Date
Improvements Made to Property Value $
Purpose of Refinance
BEFORE YOU CLICK THE SUBMIT BUTTON: Please note, before we can proceed with your mortgage file and pull your credit report, we must have signed confirmation from you to do so as well as your signature on a cilent disclosure form. Please download the pdf file to the right, sign/date and either scan and email back or fax to: 780-634-9398. A new window will open and you will not lose the data you have filled out on this form.		PDF Consent Form:

Mortgage Application

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