www.canadafirstmortgage.net




   
 

Mortgage Application

Lynn Meldrum
Mortgage Associate
Phone: 403-278-0093
Fax: 866-902-4910

Please fill out this application and submit it to me for approval. Please fill in this form completely, if sections or fields are missed, this could slow down the approval process.

If you would rather print off this form and fax it to our office, please CLICK HERE to download a .PDF file. Print this file and fill out all fields completely and accurately.

* email address is required

» General Information
Pre-Approval for Purchase Refinance Existing Mortgage
Consolidation of Debt New Purchase
 
»
Personal Information
Applicant
Co-Applicant
First Name
First Name
Last Name
Last Name
Birth Date
Birth Date
SIN
SIN
Marital Status
Marital Status
Dependants:
Dependants:
* Email
 
» Contact & Address Information
Home Phone
Work Phone
Address
City
Province
Postal Code
Status
Length of Time
Preferred Contact
   
» Employment Information
Applicant
 Co-Applicant
Current Employer
Current Employer
Occupation
Occupation
Length of Time
Length of Time
Annual Income
Annual Income
   
Previous Employment (if current employer is under 3 years)
Previous Employer
Previous Employer
Occupation
Occupation
Length of Time
Length of Time
Annual Income
Annual Income
     
» Liabilities
Total outstanding balances: Credit Cards $ Loans/Lines of Credit $
Total monthly payments: Car Payments $ Alimony/Support/Other $

Existing Mortgage
Lender

Mortgage Amount $
Rate

Value of Home $
Term      
       
» Assets
Vehicle 1 (Year, Make, Model) RRSPs $
Vehicle 2 (Year, Make, Model) Stocks/Bonds $
Name of your bank(s) Cash/Savings $
       
» Other
Downpayment Amount
$
Where is the downpayment derived from?
How did you hear about us?
   
» Comments / Notes

When refinancing existing mortgages, or applying for a second mortgage, please add any helpful notes, such as address of property and brief description. Please indicate debts to be paid off from new mortgage.  If buying, will you be selling your existing home if buying new? What is your estimated sale date?

CONSENT FORM
PLEASE READ BEFORE SUBMITTING APPLICATION

Show/ Hide Consent Form

I/we warrant and confirm that the information 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 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, mortgage insurers, other service providers, 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, mortgage insurer or 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 me/us for the purposes of recording, evaluating and responding to my/our application for mortgage financing or related activities 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, mortgage insurer or other service provider.

 
I AGREE to the Consent Form.        
I DO NOT AGREE to the Consent Form.

   
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