Personal Information (Applicant) First Name: Last Name Social Insurance Number (SIN) Month and Year of Birth Marital Status Number of Dependents Tel (Home) Cell: Enter your E-mail: Address: Renting for How Many Years? Renting for How Many Months? Renting Fee? Previous Address (if current less than 3 Years) Personal Information (Co-Applicant/Guarantor) First Name: Last Name Social Insurance Number (SIN) Mont and Year of Birth Marital Status Number of Dependents Tel (Home) Cell: Enter your E-mail: Address: Renting for How Many Years? Renting for How Many Months? Previous Address (if current less than 3 Years) Employment Information (Applicant) Employer's Name: Address: Telephone (Business) Occupation Hourly/Salaried $ How Long? Years Months Previous Employer (if current less than 3 Years) Address: Hourly/Salaried $ How Long? Years Employment Information (Co-Applicant/Guarantor) Employer's Name: Address: Telephone (Business) Occupation Hourly/Salaried $ How Long? Years Months Previous Employer (if current less than 3 Years) Address: Hourly/Salaried $ How Long? Years Assets Bank: Chq/ Sav/ US $ Bank: Chq/ Sav/ US $ RRSP / TFSA $ Auto (year, Make & Model) GIC / Stocks / Bonds $ Deposit with Offer/ Builder $ Gift for Downpayment $ Liabilities Credit Card(s) Limit Balance Payments Existing Mortgage / Re-Finance / Equity Take-Out / Switch Lender/ Bank: Property Address Mortgage Type: First / Second Mortgage # Mortgage # Market Value $ Outstanding Mortgage $ Interest Rate: Maturity Date Improvements Value of Improvements Mortgage Payment (PI) $/month Property Taxes $/month Closing / Switch Date Principal Residence YesNo Rental Income? $$/month Purpose 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 and to evaluate and respond to my/our request for mortgage financing. You consent to credit check by typing your name and date below. Applicant Date Co-Applicant Date Submit