Corporate Office:
12983-160A Avenue

 

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 780-487-9738.

Thank you,
Evgeny Fialkov, Mortgage Associate

Details of Mortgage Loan Required
 
First Applicant:
Personal Information
Initial Social Insurance #
Address:
City Postal Code Unit #
City Postal Code Unit #
Email
Income:
Gross Annual 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
 
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
Current Address:
City Postal Code Unit #
City Postal Code Unit #
Email
Income:
Occupation Type Industry
Employer Address
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
Size of Property: .
Size of Lot:
Taxes This property is on MLS system
I have written an offer on this property
 
Refinance Information
(Please only fill out if you want to refinance your property or renew your mortgage)
   

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 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 such 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 and mortgage insurers, 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 and mortgage insurer or applicable 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/our 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 and me/us for the purpose of recording, evaluating and responding to my/our application for mortgage financing 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 and mortgage insurer and applicable service provider.

 
 

 

 

 

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