Mortgage Application

Mortgage Application

Details of Loan

First:

Second:

Mtg Type:

Purchase Price/Value:

Insurance Fee:

Closing Date:

Source(s) of Down Payment:
Asset Breakdown:

Personal

Name:

S.I.N.

Date of Birth:

Age:

Dependents:

Present Address:

Res:
Bus:

Yrs.

Previous Address:

No. of Years

Marital Status

Rent

Current Employer:

Years:

Gross Annual Income:

Occupation:

Previous Employer (<3 years)

Years:

Gross Annual Income:

Occupation:

Co-Applicant Name:

S.I.N.

Date of Birth:

Age:

Address:

City:

Prov:

Res:
Bus:

Yrs:

Current Employer:

Years:

Gross Annual Income:

Occupation:

Previous Employer (<3 years)

Years:

Gross Annual Income:

Occupation:

Other Income:

Source:

Amunt:

Source:

Amount:

Financial Net Worth: $

Assets	Value	Liabilities	Total Dept	Monthly Payments
Cash		Credit Card(s)
Principal Res.		Principal Res.
Rental/Other Prop.		Rental/Other Prop.
		Credit Lines/Loans






Total Assets:		Total Liabilities:

Property Description

Municipal Address:

Owner Occupied:

Rental:

Zoning:

Lot Size:

Taxes:$

Heat:$

Condo Fees:$

Rental Income:$

Rental exp.: Insurance:$ Repairs:$ Hydro:$ Mgmt:$ Other:$

Appraised Value:

Date Appraised:

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Credit References

Bank	Location	Account#	Amount

Credit Line/Loan Name	Description	Paid Off	Limit	Balance	Monthly Payments



		Totals:
Credit Card Name	Card Number	Paid Off	Limit	Balance	Monthly Payments



		Totals:

Existing Mortgages / Properties

Held by:			Mortgage Number
Address:
Mortgage Type:	Rate:	%
Property Value:
Principal Residence:
	Remain After Closing:

Held by:			Mortgage Number
Address:
Mortgage Type:	Rate:	%
Property Value:
Principal Residence:
	Remain After Closing:

Held by:			Mortgage Number
Address:
Mortgage Type:	Rate:	%
Property Value:
Principal Residence:
	Remain After Closing:

Refinance Information

Purchase:	Closing / Switch Date:	Oringinal Mortgage:
Purpose:	Improvements:
Mortgage Holder:

Applicant:	Date:
Co-applicant:	Date:

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