Residential

Canadian
Mortgages

First Name and Initial			Title
Last Name			Maritial Status
Street Address			City
Province			Postal Code
How long in Residence			Phone + Area Code
Business Phone # with Area Code			Fax + Area Code
Email Address			Select
Previous address if less than 3 years
Street Address			City
Province			Postal
Dependents			SIN
Birth Date (m\d\yr)			Select
Co-Application's Information (if required)
First Name and Initial			Marital Status
Last Name			Relationship
Birth Date (m\d\yr)			SIN
YOUR EMPLOYMENT HISTORY
			Applicant		Co-Applicant
Name of Employer
Employer Address
How Long Employed
Your Position Held
Annual Income
Other Income
Previous employer if less than 3 years with present employer
Name of Employer
Employer Address
How Long Employed
Annual Income
Your Position Held
Other Income
YOUR RESOURCES
Present Residence
Month Payments Including Taxes $
Do you own	Yes	No	Home Value $
Current Mortgage $			Lender
Mortgage Due: dy/mo/yr			Other Loan
ASSETS AND INVESTMENTS
Other Real Estate (if yes need address)
City			Province
How long owned			Value $
Mortgage Amount			Rental Income $
Other comments on property or other properties owned:

YOUR BANK ACCOUNT DETAILS
Bank	Branch Location		Deposit Amount



YOUR FINANCIAL OBLIGATIONS
Card			Outstanding Balance
Card2			Outstanding Balance
Department Store			Outstanding Balance
Bank loan			Outstanding Balance
Bank Loan2			Outstanding Balance
Line of Credit			Outstanding Balance
Other Debts/Outstanding Balance				Monthly Payment $

YOUR LOAN REQUIREMENTS
Amount to borrow $			Amortization Period
Date Funds Needed			Purpose

PROPERTY INFORMATION
Street Address:
City			Province
Type of House			Strata fees if any $
Purchase Price $			Down Payment $
Source of Down Payment
Will the property be occupied by you
Other Information:	I/We warrant and confirm that the information given in this 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 relative to this application from any sources to which you may apply and each such source is hereby authorized to provide you with such information. You are furthermore authorized to disclose, in response to direct enquiries from any other lender or credit bureau, such information on my loaning account as you consider appropriate, and I agree to indemnify you against and save you harm from any and all claims in damages or otherwise arising from such disclosure on your part. You are also authorized to retain the application whether or not the relative mortgage is approved. By sending your application you accept the above statements.
Referred by:


	Email The Mortgage Centre Approved Mortgages Ltd. 109-2626 Countess St. Abbotsford, BC V2T5P3 Kelowna: Phone 250-861-8758, Fax 250-861-8760 Abbotsford: Phone 604-852-5542, Fax 604-756-1311 Toll Free: Phone 1-877-692-7693, Fax 1-877-220-9741