Please download the PDF application file below Direct: (604) 377-1683 or (604) 505-1683  
PDF Version Download Fax:    (604) 629-4738  
Microsoft Word Version Download Email:  sally@sallykwan.com  
 

Mortgage Loan Application Form

 
Principal Borrower
Personal Information
Title Mr
Mrs / Ms / Miss
First Name
Middle Name
Last Name
Home Tel
Work Tel
Cell
Email
Birth Date
(MM / DD / YYYY)		 / /
SIN #
Marital Status Married
Single
Divorced
# of Dependants & Age
   
Home Address
City
Postal Code
Years There
Rent or Owned
If rent, how much
   
If "Present Address" is LESS than 3 years, please provide "Previous Address" :
Previous Address
City
Postal Code
Years There
Rent or Owned
If rent, how much
   
Employment  
Current Employer
Address
Job Title
Years There
Annual Salary
   
Previous Employment
If "Current Employment" is LESS than 3 years please provide "Previous Employment":
Previous Employer
Address
Job Title
Years There
Annual Salary
   
Other Income
   
Assets  
Residence Market Value
RRSP Amount
 
Automobile Market Value
Year
Make
Model
   
Account Balance  
Savings
Chequing
Term Deposit
Name of Financial Institution & Address
   
Bonds Market Value
Stocks Market Value
Others
   
Mortgage Information
Property Address
Purchase Price / Market Value
Down Payment / Equity
Mortgage Amount
Subject Removal Date
Completion Date

Building Type
(House / Townhouse / Apartment)

Notes
   
Co- Borrower
Personal Information
Title Mr
Mrs / Ms / Miss
First Name
Middle Name
Last Name
Home Tel
Work Tel
Cell
Email
Birth Date
(MM / DD / YYYY)		 / /
SIN #
Marital Status Married
Single
Divorced
# of Dependants & Age
   
Home Address
City
Postal Code
Years There
Rent or Owned
If rent, how much
   
If "Present Address" is LESS than 3 years, please provide "Previous Address" :
Previous Address
City
Postal Code
Years There
Rent or Owned
If rent, how much
   
Employment  
Current Employer
Address
Job Title
Years There
Annual Salary
   
Previous Employment
If "Current Employment" is LESS than 3 years please provide "Previous Employment":
Previous Employer
Address
Job Title
Years There
Annual Salary
   
Other Income
   
Liabilities  
Mortgage Balance
Payment
Bank
RRSP Loan
Auto Loan / Lease Balance
Payment
Bank
   
Credit Card  
Credit Card Balance
Card Type Visa
Master Card
Amex
   
Dept Store Card Balance
Others
   
Solicitor Information
Name
Phone
Address
   
 
  We hereby certify that the information given in my/our mortgage application is complete and correct and is given for the purpose of obtaining the mortgage loan and/or financial services applied for.

I/We authorize the receipt and exchange of information about me/us with your affiliates from time to time as you deem appropriate and to the sharing or exchange of reports and information with the credit reporting agencies, credit bureaus, mortgage insurers, and/or any other person, corporation, firm or enterprise with whom I/we have or propose to have a financial relationship.