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Secure Online Mortgage Approval

General Information


	Purpose of Mortgage:
	Amount Required:	$
	How did you hear about us:
	How is your credit:

Complete this section if you are seeking financing for the purchase of a home.


	Purchase Price	$
	First time buyer?
	Realtor's Name & Company
	Down Payment	$
	Style of Home being Purchased
	Source of Down Payment
	Garage
	Size of House

Complete this section if you are looking to refinance or obtain additional financing on current home.

Market Value	$	Annual Property Taxes
Existing 1st Mortgage	$	To be paid out?
Existing 2nd Mortgage	$	To be paid out?
Amount Required	$	Condo Fees?	$
Style of Home		Garage
Size of House		Purchase Price
Date Moved in

Personal Information

Applicant Information		Co Applicant Information
Full Name		Co-Applicant Full Name

Address		Address

City, Province		City, Province

Postal Code	Years at Address	Postal Code	Years at Address

Rent / Own	Payment	Rent / Own	Payment

Home Phone	Work Phone	Home Phone	Work Phone

Birth Date	S.I.N.	Birth Date	S.I.N.

Marital Status	# of Dependants	Marital Status	# of Dependants

E-mail		E-mail

Employment Information


Applicant Information		Co Applicant Information
Employer		Employer

Job Title		Job Title

Annual Income	Years at Job	Annual Income	Years at Job

Income Category		Income Category


If less than 3 years please provide previous employment information		If less than 3 years please provide previous employment information
Previous Employer		Previous Employer

Job Title		Job Title

Years at Job		Years at Job


Other income could include Part Time, investment or rental income.		Other income could include Part Time, investment or rental income.
Source of Other Income		Source of Other Income

Other Income		Other Income

Assets

Bank you deal with	Years there	Chequing Account		Savings Account
				$
RRSP's	Stocks/Bonds	GIC's		Other
$		$		$
Vehicle (Yr & Make)	Own/lease	Value	Amount Owing	Payment
		$	$	$
Vehicle (Yr & make)	Own/lease	Value	Amount Owing	Payment
		$	$	$

Primary Residence
Primary Res. Value	Mortgage Amount	Payment	Mortgage Holder	Payment Frequency	Prop. Taxes
$		$			$

Rental Properties

Property Address	Property Value	Mortgage	Mortgage Holder	Mortgage Pmnt	Rent
	$	$		$	$
Property Address	Property Value	Mortgage	Mortgage Holder	Mortgage Pmnt	Rent
	$	$			$

Liabilities

Credit Type	Lender Name	Amount Owing	Monthly Payment
		$	$
		$	$
		$	$
		$	$
		$	$

Comments

Approval is conditioned upon credit, accuracy of information submitted, and lender's guidelines for qualification. Every effort will be made to return your approval or details within 24 hours. However, sometimes circumstances beyond our control result in responses taking longer than 24 hours, on the other hand, sometimes responses can come in as little as 2 hours.

Authorization to Release Credit Information: By submitting this application, you authorize Mortgage Results and/or it's assigns to obtain report(s) containing credit or personal information as required for the purpose of determining credit worthiness. The information that is obtained is strictly confidential. By typing "yes" in the box below, you confirm that authorization is hereby given to pull your credit report from Equifax Canada, to which Mortgage Results is a member in good standing, or any other agency or institution deemed necessary.

Please type "yes" for Consent for Credit Authorization