Mortgage Cents

	ONLINE APPLICATION
	REFER A MORTGAGE

Click Here to download our Mortgage Financing Application. The Application can be printed and faxed to 416-742-6410, emailed to apply@mortgage-cents.com or it can be completed below and sent in electronically. If you have questions about the application process, please contact us toll free at 1-877-244-1422, locally at 647-428-7009.

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MORTGAGE FINANCING APPLICATION

REFERRAL

Were you referred?: Yes No

If yes, who referred you?:

First Name:

Last Name:

PERSONAL INFORMATION

First Name:

Date of Birth:

(D/M/Y)

Last Name:

Social Insurance Number:

Marital Status

Address

Spouse on Deal?:
Yes No
Name of Spouse:

City:

Province:

Years at Residence:

Postal:

Email:

Own Rent
(if rent, $ /month)

Phone:

Cell:

Number of Dependents:

EMPLOYMENT INFORMATION
Employer Name:		Full Time Part Time		Self Employed Employee
Address:	Job Title:		Years in Job:
City:	Annual Income:		Years at Industry:
Postal:	Province:		Income Type: Salary Hourly Commission Hourly + Commission
Phone:	Fax:

FINANCIAL NET WORTH
Assets		Liabilities
Bank Accounts	$		Total Debt	Monthly Pmt
RRSP	$	Credit Cards	$	$
Investments (GICs, Stocks, Mutual Funds)	$	Loans (Vehicles and Other)	$	$
Real Estate	$	Mortgages	$	$
Vehicles	$	Line of Credit	$	$

PROPERTY TO BE FINANCED
PERSONAL RESIDENCE RENTAL INVESTMENT SECOND HOME (Select One)
Address:						Property Value:
City:						Down-payment Amount: Source of Down-payment: Personal Cash Sale of Existing Property RRSP Second Financing Borrowed Against Liquid Assets Gift (Select One)
Province:						Mortgage Amount Required:
Postal Code:						Purchase Price:
Telephone:						Last Appraisal Date:
Living Space (sq. ft.):						Age of Property:
Lot Size (sq. ft.):						Sewage Info: Municipal Septic Holding Tank (Select One)
Construction Type: Existing Construction New (Select One)						Style: One Storey Bi-Level Two Storey Split Level Storey and a Half Three Storey Other (Select One)
Water: Municipal Well (Select One)						Garage Type: Attached Detached Other (Select One)
Occupancy: (Select One)	Owner Occupied Owner Occupied and Rental Rental Second Home Investment					Garage Size:			Single Double Triple None
Application Purpose:	Approval Pre- Approval					Taxes:			/ Year
Closing Date:	(D/M/Y)					Hydro:			/ Month
Mortgage Purpose:	Purchase Refinance ETO Switch					Condo Fees:			/ Month
Mortgage Information:	Terms:	Open Closed Convertible				Rate:			Fixed Variable Adjustable
	Amortization:		25	30	35		40	Payment Frequency: Weekly Bi-weekly Monthly Accl. Bi-Weekly (Select One)
	Mortgage Life Insurance?		Yes No? If yes, with who? If no, do you have life insurance?
	First Time Home Buyer?		Yes No? If yes, have you used the First Time Home Buyers’ Plan? Yes No?
	Home Insurance		Do you require a quote for home/property insurance?

EXISTING PROPERTIES/MORTGAGES
PERSONAL RESIDENCE RENTAL INVESTMENT SECOND HOME (Select One)
Address:	Property Value:
City:	Original Value:
Province:	Down-payment:
Postal Code:	Mortgage Amount:
Telephone:	Lender:
Purchase Date:	Rate	Fixed Variable	Open Closed
Annual Taxes:	Maturity Date:
Rental Income:	Payment Frequency:
Heating Expenses (per month):	Condo Fees (per month):

*EXISTING PROPERTIES/MORTGAGES if necessary**
PERSONAL RESIDENCE RENTAL INVESTMENT SECOND HOME (Select One)
Address:	Property Value:
City:	Original Value:
Province:	Down-payment:
Postal Code:	Mortgage Amount:
Telephone:	Lender:
Purchase Date:	Rate	Fixed Variable	Open Closed
Annual Taxes:	Maturity Date:
Rental Income:	Payment Frequency:
Heating Expenses (per month):	Condo Fees (per month):
Additional Information or Special Instructions:

Mortgage Cents: Consent Form

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 are authorized to obtain any information you may require for these purposes from other sources (including, for example, credit bureau) and each source is herby authorized to provide you with such information. I/we also understand, acknowledge and agree 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, mortgage insurers, other service providers, organization 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.

I/we further acknowledge and agree that each potential mortgage lender, mortgage insurer or service provider to whom you provide the mortgage application and/or my/our personal information is permitted to receive such application and disclose personal information about me/us, including my/our Social Insurance Number (SIN) if I/we provide it, and collect personal information from me/us, you and from third persons, including credit bureau, credit reporting and collection agencies, financial institutions, my/our past and present employers, creditors and tenants, my/our spouse or any other person who has information about me/us for the purpose of recording, evaluating and responding to my/our application for mortgage financing or related activities and I/we specifically consent to the release and disclosure of personal information by such persons to and among you and each potential mortgage lender, mortgage insurer or other service provider.

Client Consent

Applicant Name:

Signature:

Date:

Security Code: