Secure Online Mortgage Application Form

Applicant Information
Full Name:*
Date of Birth:
Social Insurance Number:*
Marital Status:
Number of Dependents:
Current Address*
Street Address Address Line 2 City Province Postal Code
How Long at Current Address:
- 0 to 3 years
- 3+ years
How many years?*
Previous Address (if less than 3 years at current address):
Street Address Address Line 2 City Province Postal Code
How Long at Previous Address:
Do you:
- Own
- Rent
- Other
If Rent:
Home Phone:
Mobile:
Email Address:*
Website (if applicable):
Current Employer:
Time with Current Employer:
- 0 to 3 years
- 3+ years
How many years?*
Occupation:
Time in Industry:
Income Type:
Rate:
Gross Annual Income:
Employment:
Current Employer Address:
Street Address Address Line 2 City Province Postal Code
Current Employer Phone Number:
Previous Employer (if with Current Employer less than 3 years):
Time with Previous Employer:
- 0 to 3 years
- 3+ years
Occupation:
Time in Industry:
Income Type:
Rate:
Gross Annual Income:
Employment:
Previous Employer Address:
Street Address Address Line 2 City Province Postal Code
Previous Employer Phone Number:
Are there two applicants?*
- Yes
- No
Click "Next" to provide 2nd applicant information.

2nd Applicant Information
Full Name:*
Date of Birth:
Social Insurance Number:*
Marital Status:
Number of Dependents:
Current Address*
Street Address Address Line 2 City Province Postal Code
How Long at Current Address:
- 0 to 3 years
- 3+ years
How many years?*
Previous Address (if less than 3 years at current address):
Street Address Address Line 2 City Province Postal Code
How Long at Previous Address:
Do you:
- Own
- Rent
- Other
If Rent:
Home Phone:
Mobile:
Email Address:*
Current Employer:
Time with Current Employer:
- 0 to 3 years
- 3+ years
How many years?*
Occupation:
Time in Industry:
Income Type:
Rate:
Gross Annual Income:
Employment:
Current Employer Address:
Street Address Address Line 2 City Province Postal Code
Current Employer Phone Number:
Previous Employer (if with Current Employer less than 3 years):
Time with Previous Employer:
- 0 to 3 years
- 3+ years
Occupation:
Time in Industry:
Income Type:
Rate:
Gross Annual Income:
Employment:
Previous Employer Address:
Street Address Address Line 2 City Province Postal Code
Previous Employer Phone Number:

Assets
Type:
Details:
Institution:
Year / Make / Model:
Description:
Asset Value:
Type:
Details:
Institution:
Year / Make / Model:
Description:
Asset Value:
Type:
Details:
Institution:
Year / Make / Model:
Description:
Asset Value:
Type:
Details:
Institution:
Year / Make / Model:
Description:
Asset Value:
Type:
Details:
Institution:
Year / Make / Model:
Description:
Asset Value:
Type:
Details:
Institution:
Year / Make / Model:
Description:
Asset Value:
Type:
Details:
Institution:
Year / Make / Model:
Description:
Asset Value:

Properties Owned
Do you own real estate property?*
- Yes
- No
Property #1:
Property Type:*
- Principal Residence
- Rental Property
- Recreational Property
Address
Street Address Address Line 2 City Province Postal Code
Value:
Purchase Date:
Purchase Price:
Age:
Property Taxes:
Strata Fees:
Existing Mortgage Bank:
Existing Mortgage Amount:
Existing Mortgage Payment:
Do you own another property?*
- Yes
- No
Click "Next" to provide 2nd property information.

Property #2:
Property Type:*
- Principal Residence
- Rental Property
- Recreational Property
Address
Street Address Address Line 2 City Province Postal Code
Value:
Purchase Date:
Purchase Price:
Age:
Property Taxes:
Strata Fees:
Existing Mortgage Bank:
Existing Mortgage Amount:
Existing Mortgage Payment:
Do you own another property?*
- Yes
- No
Click "Next" to provide 3rd property information.

Property #3:
Property Type:*
- Principal Residence
- Rental Property
- Recreational Property
Address
Street Address Address Line 2 City Province Postal Code
Value:
Purchase Date:
Purchase Price:
Age:
Property Taxes:
Strata Fees:
Existing Mortgage Bank:
Existing Mortgage Amount:
Existing Mortgage Payment:

Mortgage Request
What are you looking for?*
What size of mortgage?*
Are you a first time buyer?
- Yes
- No
Have you already made an offer on a property?
- Yes
- No
Who is your realtor?
Requested Term:
Requested Amortization:
Requested Payment Frequency:
Closing Date:
Subject to Financing Waiver Date:
Down Payment Amount:
Down Payment Source
Existing Lender:
Existing Amount:
Existing Rate:
Existing Term:
Original Amount Borrowed:
Existing Amortization:
Existing Frequency:
Existing Payment:
Expiry Date:
Mortgage Account No.:

Authorization and Consent
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.*
- Yes
- No
Please confirm your consent to receiving our newsletter and other mortgage information via electronic communication.

Mortgage Application

Step 1 of 9

Applicant Information

2nd Applicant Information

Assets

Questions

Properties Owned

Property #1:

Property #2:

Property #3:

Mortgage Request

Authorization and Consent

Online Applications

Canada's Anti-Spam Legislation

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