Mortgage Prime MORTGAGE APPLICATION Online -2

We use this form solely for the purpose of mortgage qualification. Once filled out, it will remain strictly confidential. The information
will be used to quickly verify your credit rating. Please complete this form to provide your info to the best of your ability to help us
get started on finding the best mortgage for you. You can also save this blank form to your computer and complete it later when
you have more time.
This form is multi- purpose which means you can use it for any of the following transactions: home purchase or pre-approval to
purchase; refinance existing mortgage to get cash out for any reason including credit card debt consolidation; obtain a second
mortgage; renew existing mortgage and more.
Print additional pages as required when:
1) You own more then one property — print additional “Properties Owned By Applicants” page.

Purpose of this application:

Referred by:

1) APPLICANT DETAILS - If there is or will be more than one person on the title of the property to be mortgaged then each
person must compete this section 3. However, assets, liabilities and existing property sections don't have to be completed by other
applicant if they are joint with the main applicant. You can also use these pages to provide guarantor details if you plan to have one

Salutation:

Initial

First Name: * (required)

Last Name:

Date of Birth: * (required)

SIN#:

Marital Status:

Work Ph.#

Ext.:

Fax Number:

Cell Number:

Home Number:

Contact Method:

E-Mail Address: * (required)

Dependents:

Existing Client:

Other applicant/guarantor please check if your address is the same as applicant #1

Current Address

Unit#:

Street Number:

Street Name:

Street Type:

City/Town:

Province:

Postal Code:

Time at Residence:

Years

Months

Status:

Rent Payment:

Check if address was the same as applicant #1

Previous Address (complete only if less than 3 years at current address)

Unit#:

Street Number:

Street Name:

Street Type:

City/Town:

Province:

Postal Code:

Time at Residence:

Years

Months

Status:

Rent Payment:

Employment History

Employer Name:

Employer Address:

City:

Province:

Postal Code:

Status:

Type:

Company Type (if Self-Employed):

Operating As (If Self-Employed):

Gross Revenue (If Self-Employed):

Job Title:

Occupation

Industry Sector:

Income Type

Time at Job:
Years Months

Time in Industry:
Months Years

Income Amount:

Previous Employment History (complete only if less than 3 years with current employer)

Employer Name:

Employer Address:

City:

Province:

Postal Code:

Status:

Type:

Company Type (if Self-Employed):

Operating As (If Self-Employed):

Gross Revenue (If Self-Employed):

Job Title:

Occupation

Industry Sector:

Income Type

Time at Job:
Years Months

Time in Industry:
Months Years

Income Amount:

2ND APPLICANT DETAILS - If there is or will be more than one person on the title of the property to be mortgaged then each
person must compete this section 3. However, assets, liabilities and existing property sections don't have to be completed by other
applicant if they are joint with the main applicant. You can also use these pages to provide guarantor details if you plan to have one.

Salutation:

Initial

First Name: * (required)

Last Name:

Date of Birth: * (required)

SIN#:

Marital Status:

Work Ph.#

Ext.:

Fax Number:

Cell Number:

Home Number:

Contact Method:

E-Mail Address: * (required)

Dependents:

Existing Client:

Other applicant/guarantor please check if your address is the same as applicant #1

Current Address

Unit#:

Street Number:

Street Name:

Street Type:

City/Town:

Province:

Postal Code:

Time at Residence:

Years

Months

Status:

Rent Payment:

Previous Employment History (complete only if less than 3 years with current employer)

Employer Name:

Employer Address:

City:

Province:

Postal Code:

Status:

Type:

Company Type (if Self-Employed):

Operating As (If Self-Employed):

Gross Revenue (If Self-Employed):

Job Title:

Occupation

Industry Sector:

Income Type

Time at Job:
Years Months

Time in Industry:
Months Years

Income Amount:

Other Income

Income Type:

Description:

Amount:

Income Type:

Description:

Amount:

Assets

Type:

Description:

Value:

Type:

Description:

Value:

Type:

Description:

Value:

Type:

Description:

Value:

Type:

Description:

Value:

Monthly Liability Obligations -- Please use comment section or print another page if you have more liabilities

Type:

Creditor:

Balance:

Payment:

Payoff:

Type:

Creditor:

Balance:

Payment:

Payoff:

Type:

Creditor:

Balance:

Payment:

Payoff:

Type:

Creditor:

Balance:

Payment:

Payoff:

Type:

Creditor:

Balance:

Payment:

Payoff:

Type:

Creditor:

Balance:

Payment:

Payoff:

Type:

Creditor:

Balance:

Payment:

Payoff:

Type:

Creditor:

Balance:

Payment:

Payoff:

2) EXISTING PROPERTIES
Please complete this page only if you already own your home. If you have more than one property then please complete this page for
each property you own.

Check if this is the subject property to be mortgaged

Owner:

Occupancy:

Property Zoning:

Unit#:

Street Number:

Street Name:

Street Type:

City/Town:

Province:

Postal Code:

Current Property Value:

Original Purchase Price:

Purchase Date:

Property Taxes:

Condo Fees:

Included in Mortgage:

Additional property information

Legal Description:

Number of Units:

Property Type:

Property Style:

Tenure:

Property Age:

Living Space:

Square:

Lot Size:

Area:

Garage Size:

Garage Type:

Heat Source:

Water Info:

Sewage Info:

1st Mortgage Info

Mortgage Type:

Balance Owing:

Mortgage Payment:

Payment Frequency:

Maturity Date:

Interest Rate:

Rate Type:

Term Type:

Mortgage Holder:

Payoff This Mortgage:

Loan Type:

Original Mortgage Amount:

Mortgage Number:

CMHC Insurance Number:

Mortgage Insurer:

2nd Mortgage Info

Mortgage Type:

Balance Owing:

Mortgage Payment:

Payment Frequency:

Maturity Date:

Interest Rate:

Rate Type:

Term Type:

Mortgage Holder:

Payoff This Mortgage:

Loan Type:

Original Mortgage Amount:

3) FINAL QUESTIONS

1. Are there any unsatisfied judgments/collections or problems on your credit? If yes -- please explain.

2. Do you have any liens against your property. If yes -- please explain.

3. Have you declared a bankruptcy or consumer proposal in the past 7 years? If so, when was it discharged?

4. Is your fire insurance up to date?

5. Do you have mortgage arrears or were you paying more than 30 days late in the last 12 months?

6. Do you have property or personal tax arrears? If yes, please explain how much do you owe and for which years.

7. Have you applied for a mortgage in the last 60 days or do you currently have pending applications with another banks or brokers?

8. Please provide your closing solicitor name, address, phone and fax info. If you do not have one yet I will refer you to one.

9. Have you done a budget recently?

10. Comments - Please use the space below to provide additional info, explain your goals and/or objectives. Please advise of any plans
that you are aware of that may have an effect on your finances - for example, plans to have a child, educational expenses, retirement,
starting a business, cottage purchase, vehicle purchases, investing, employment change.

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 source is hereby authorized to provide you with such
information. I/we also understand that the information given in the application form as well as other information you obtain in
relation to my credit history may be disclosed in writing, including fax, e-mail, or other electronic transmission with potential 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. I/we further understand that any
potential lender, financial intermediary, or any other of the aforementioned parties to whom this information is forwarded may
obtain its own credit report and I/we hereby authorize those parties to do so. I/ we confirm that I/we read and understand the above.

This application was completed on this date:

Applicant 1 Signature:

Applicant 2 Signature:

Applicant 3 Signature:

Applicant 4 Signature:

FAX COVER

TO:
FAX NUMBER:

Please use the space below to add your notes or list your enclosures: