Residential Form

Step 1 of 16

Purpose of loan

Pre-Approval

Purchase

Refinance

Equity Take Out

Rent to own

Development

Investing

Construction

Debt consolidation

Other

Address of property to be purchased, refinanced, mortgaged or constructed.

Apt, suite, etc.

City

Postal code

Purchase price OR Amount required

Down Payment

Date Required (Day / Month / Year)

MM slash DD slash YYYY

Property Type

Property Listed On MLS

Closing Date (Day / Month / Year)

MM slash DD slash YYYY

Describe your situation

Primary Borrower

Yes

Gender

Male

Female

Title

Mr.

Mrs.

Ms.

Miss.

Dr.

Co-Borrower

Yes

Full Name

Home Phone

Business Phone

Cell Phone

Date Of Birth *

MM slash DD slash YYYY

S.I.N

Untitled

Single

Married

Common Law

Separated

Divorced

Widowed

Dependants

Address

Current Home Address Apt, suite, etc. City State / Province / Region ZIP / Postal Code Country

Current Living Arrangement

Rent

Lease

Own

Living with parents

How Long Have You Lived Here ? ( Years/Months )

Previous Address

Name Of Current Employer

Job Title

Current Annual Income

Dollar Amount ( If Paid Hourly )

Length of time at current job ? Years/Months

Length of time in this industry ? Years/Months

Income Type

Salary

Hourly

Commission

Other

Hours

Full-time

Part-time

Other

Address

Address Apt, suite, etc. City State / Province / Region ZIP / Postal Code Country

Notes

Name Of Previous Employer

(Only complete If less than 3yrs with current employer)

Previous job title

Previous Annual income

Length of time at previous job . ( Years/Months )

Dollar Amount ( if paid hourly )

Income type

Salary

Hourly

Commission

Other

Hours

Full-time

Part-time

Other

Address

Address Apt, suite, etc. City Province Postal code Country

Notes

Untitled

Pension

Rental property

Support

Salary

Commission

Contract

Occassional

Other

None

Residence ( Owned )

RRSP’s

Cash in Bank

Deposit for Purchase

Stock, bonds, etc.

GIC's

Vehicle # 1

Vehicle # 2

Furniture

Other

Total amount of all mortgages

Total amount of all bank loans

Total amount of all credit cards

Total amount of all car loans

Total amount for all lines of credit

Total other debts

Are there any suits or judgments against you or pending against you?

Yes

Have you ever gone through bankruptcy?

Yes

Are any of your assets presently involved in a marriage or separation?

Yes

Are you a co-signer or guarantor on any other debt, lease or contract?

Yes

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Residential Form

Residential

Capital

Mortgages

Investment

Applications

For Sale By Owner

Rent to Own

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