Mortgage Application Name First Last PhoneDate of BirthDayDay12345678910111213141516171819202122232425262728293031MonthMonth123456789101112YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Email Contact Address Do you have a co-applicant? Yes No Co-Applicant Name First Last Co-Applicant PhoneCo-Applicant Date of BirthDayDay12345678910111213141516171819202122232425262728293031MonthMonth123456789101112YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Address Street Address City Postal Code How long?Was it under 3 years? Yes No Previous Address Street Address City Postal Code Other AddressesWe need to ensure we have 3 years worth of data, so if your previous address does not give us a full 3 years, please provide details for any additional addresses to fill the full range.Is your property for financing at a different address? Yes No Different Address Street Address City Postal Code How much would you like to borrow?PurposeExisting first mortgage amountLenderPaymentRateMaturity DateDo you have a second mortgage or credit line? Yes No Second Mortgage AmountSecond Mortgage LenderSecond Mortgage PaymentSecond Mortgage RateMaturity DateAre Mortgages up to date? Yes No Is the property well and septic? Yes No Property Tax AmountAre property taxes up to date? Yes No Remaining Balance for Property TaxValue of the property to be refinanced $Applicant's employerEmployment Details (Select all that apply) Salary Commission Hourly Self-Employed - Incorporated Self-Employed - Self Proprietor PositionIncome AnnuallyAny additional income?From where?How long?Have you been employed at your current employer for less than 3 years? Yes No Previous EmployerHow long?Other EmployersWe need to ensure we have 3 years worth of data, so if your previous employer does not give us a full 3 years, please provide details for any additional employers to fill the full range.Income AnnuallyAdditional income $From where?Co-Applicant EmployerCo-Applicant Employment Details (Select all that apply) Salary Commission Hourly Self-Employed - Incorporated Self-Employed - Self Proprietor Co-Applicant PositionHave you been employed at your current employer for less than 3 years? (Co-applicant) Yes No Co-Applicant Previous EmployerHow long?Co-Applicant Income AnnuallyCo-Applicant Additional IncomeCo-Applicant Additional Income From Where?Do you owe CRA? Yes No Income Tax AmountHST/GST amountDo you have additional property? Yes No Do you receive rental income? Yes No AmountWhere did you hear about us?Consent I agree to a credit checkDate of Credit check consentDayDay12345678910111213141516171819202122232425262728293031MonthMonth123456789101112YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Signature for consentConsent Co-Applicant I agree to a credit checkDate of Credit check Consent Co-ApplicantDayDay12345678910111213141516171819202122232425262728293031MonthMonth123456789101112YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Co-Applicant Signature for ConsentCAPTCHAUntitled