Mortgage Application Form (Download Printer Friendly PDF)

Principal Borrower

Title (circle):

Mr. / Ms. / Miss. / Mrs.

First Name:

Middle Initial:

Last Name:

Suffix:

Home Phone:

Work Phone:

Present Address:

Number of years in residence:

If less than 3 years, please provide previous address:

Birth Date:

Social Insurance Number:

Marital Status:

married / common-law / single / engaged / divorced-separated / widowed

Number of Dependants (excluding spouse):

Current Employer:

Employer's Address:

Job Title/Position:

Number of Years There:

Annual Salary:

Other Income:

Co-Borrower

Title (circle):

Mr. / Ms. / Miss. / Mrs.

First Name:

Middle Initial:

Last Name:

Suffix:

Home Phone:

Work Phone:

Present Address:

Number of years in residence.

If less than 3 years, please provide previous address:

Birth Date:

Social Insurance Number:

Relationship to Borrower:

spouse / co-investor / common-law / co-signor / co-habit / fiance / other

Current Employer:

Employer's Address:

Job Title/Position:

Number of Years There:

Annual Salary:

Other Income:

Assets

Cash/Savings Account:

Credit Union Deposits:

Real Estate Deposits:

Bonds (Market Value):

Stocks (Market Value):

Real Estate (Market Value):

Automobiles (Market Value):

Year, Make, and Model of Automobiles:

Personal Effects:

RRSPs:

Other:

Other:

Total Assets:

Liabilities

Personal Loan

Bank Name:

Monthly Payment:

Total Debt:

Personal Loan

Bank Name:

Monthly Payment:

Total Debt:

Auto Lease

Bank Name:

Monthly Payment:

Total Debt:

Alimony Payments

Bank Name:

Monthly Payment:

Total Debt:

RRSP Loan

Bank Name:

Monthly Payment:

Total Debt:

Credit Cards

Monthly Payment:

Total Debt:

Charge Account

Monthly Payment:

Total Debt:

Monthly Payment:

Other

Total Debt:

Mortgage

Bank Name:

Monthly Payment:

Total Debt:

Rent

Bank Name:

Monthly Payment:

Total Debt:

Other

Bank Name:

Monthly Payment:

Total Debt:

Other

Bank Name:

Monthly Payment:

Total Debt:

Total Liabilities:

Bank/Lawyer or Notary

Borrower's Bank/Trust Name:

Borrower's Branch Location:

Borrower's Account Number:

Co-Borrower's Bank/Trust Name:

Co-Borrower's Branch Location:

Co-Borrower's Account Number:

Solicitor's Firm:

Solicitor's Name:

Phone Number:

Fax Number:

Have you declared bankruptcy in the last 7 years?

yes / no

Have you co-signed any other loans?