The Mortgage Centre - Shannon Rees | The Mortgage Centre

Please complete the following mortgage application in as much detail as you can (required information has been highlighted), then click submit. I will review the information, then contact you to discuss your application, answer any questions you might have, and explain next steps.

*Mandatory field.

Mortgage Details

Type of Loan:*
Purpose of Loan:*

Value of Home:*
Mortgage Amount Required:*

Approx Date Funds Required:*

Personal Information - Applicant 1

Identification

Title:
First Name:*
Last Name:*
Initial:

Date of Birth:*
SIN:
E-Mail Address:*

Current Living Address

Number:*
Street Name:*

Street Type:
Street Direction:
Unit #:

City/Town:*
Province:*
State:*
Postal/Zip Code:*
Country:*

Home Ph.#:*(incl. area code; 1112223333)
Cell Ph.#: (incl. area code; 1112223333)
Time at this address: (YYMM)*(eg. 4 years & 2 months = 0402)

Present Employer

Occupation Type:*
Name of Employer:*
Job Title: *
Work Ph.#: (incl. area code, no ext; 1112223333)
Employment Type: *

Length of Employment: (YYMM)* (eg. 4 years & 2 months = 0402)
Annual Income:*
Type of Income: *

Click Here To Enable Applicant 2

Personal Information - Applicant 2

Identification

Title:
First Name:*
Last Name:*
Initial:

Date of Birth:*
SIN:
E-Mail Address:*

Current Living Address

Copy Applicant 1's address

Number:*
Street Name:*

Street Type:
Street Direction:
Unit #:

City/Town:*
Province:*
State:*
Postal/Zip Code:*
Country:*

Home Ph.#:*(incl. area code; 1112223333)
Cell Ph.#: (incl. area code; 1112223333)
Time at this address: (YYMM)*(eg. 4 years & 2 months = 0402)

Present Employer

Occupation Type:*
Name of Employer:*
Job Title: *
Work Ph.#: (incl. area code, no ext; 1112223333)
Employment Type: *

Length of Employment: (YYMM)* (eg. 4 years & 2 months = 0402)
Annual Income:*
Type of Income: *

Financial Information

Assets

Type	Where/Financial Institution(s)	Amount/ Value ($)
Cash savings
RRSP
Stocks/Bonds/Mutual
Automobile: present value
Value of present home (if owned)
Other
Total

Liabilities

Type	Where/Financial Institution(s)	Balance Owing ($)	Monthly Payment ($)
Debts / Loans
Credit Cards
Amount owing on current mortgage(s)
Finance company loans and other debts
Total

Net Worth (Total Assets - Total Liabilities) = $

Other Information

Category: * Additional Note for Financial Information: (Max. 500 Characters)

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. You are authorized to obtain any information you may require for these purposes from other sources (including, for example, credit bureau) and each such source is hereby authorized to provide you with such information. I/we also understand 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, financial intermediary 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.

Online Applications

Please read the paragraph above prior to sending completed application. By transmitting the online mortgage application you are accepting the terms of the paragraph noted above.

Canada's Anti-Spam Legislation

Canada's Anti-Spam Legislation was effective as of July 1, 2014. Under this legislation, I am required to obtain your consent in order to continue sending you email communications about the latest mortgage news, events, products, and services.

Please confirm your consent to receiving electronic communications.

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