PERSONAL INFORMATION

 

Check here if you are currently a homeowner

 

I am applying for a

 
Mr. Mrs. Ms.    
First Name Last Name Email
Current Address City Province
Current Postal Code Years There  
 
Previous Address City Province
Home Phone Work Phone S.I.N.
     
Date of birth Marital status Dependents
     
Residential status    
   
Current employer Current occupation Gross yearly income $
     
Type of income Years there Work phone
     
Current employer address    
   
     
Previous employer Previous occupation Gross yearly income $
     
  Years there  
   
     
Check here if you have a co-applicant
 

Details of Mortgage Loan
 
Purchase price of the home? $ Annual property tax (optional) $ How much down payment do you have?$
     
Closing date (optional) Property address Down payment coming from?
 
Amortization Desired term
     
     

Liabilities & Assets
 
LIABILITIES INFORMATION
Enter total outstanding balances:    
Credit cards $ Loans / Lines of credit $  
 
     
Enter total monthly expenses:    
     
Car payments $ Child support / Other $  
 
     
ASSETS INFORMATION
     
Vehicle 1 Year, make, model RRSPs $  
 
     
Vehicle 2 Year, make, model Investments $  
 
     
Preferred bank(s) you use Cash / Savings $  
 
     
 
Property Information Required by Lender
Dwelling type Tenure Lot size
     
Dwelling style Garage size Square footage
     
Heating type Garage type Property age
Comments:(Please provide any additional information which could help us with your request)

By filling out this secure application, I hereby authorize VIP Realtors to obtain a credit report and make any necessary inquiries regarding my mortgage application and to release this information to any approved lender who may be willing to provide funds on my behalf as stated in the VIP Realtors.