Mortgage Application
Bill Dietrich
Mortgage Agent
416.410.4101
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Mortgage Details
Applicants
Employment
Subject Property
Other Properties
Financial
Submit
Mortgage Details
Mortgage Purpose
Purchase
Refinance
Switch/Transfer
Port
Downpayment Details
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Downpayment Source
Sale of existing property
Personal cash
RRSP
Liquid assets
Gift
Sweat equity
Existing equity
Secondary financing
Grants
Other
Applicant Details
Salutation
Mr.
Mrs.
Ms.
Dr.
Miss
Preferred Contact Method
Mobile Phone
Home Phone
Work Phone
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Address
Street Type
None
Allé
Avenue
Boulevard
Carré
Carrefour
Cercle
Chemin
Circle
Court
Creek
Crescent
Croissant
Drive
Esplanade
Gate
Lane
Parc
Place
Pointe
Quai
Rang
Road
Rue
Street
Terrace
Terrasse
Trail
Way
Street Direction
None
North
South
East
West
North East
North West
South East
South West
Province
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland & Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Occupancy Status
Own
Rent
Live with parents
Other
Time at Address
Years
1
2
3
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49
50
Months
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4
5
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8
9
10
11
Add Co-Applicant
Co-Applicant Details
Salutation
Mr.
Mrs.
Ms.
Dr.
Miss
Preferred Contact Method
Mobile Phone
Home Phone
Work Phone
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Address
Street Type
None
Allé
Avenue
Boulevard
Carré
Carrefour
Cercle
Chemin
Circle
Court
Creek
Crescent
Croissant
Drive
Esplanade
Gate
Lane
Parc
Place
Pointe
Quai
Rang
Road
Rue
Street
Terrace
Terrasse
Trail
Way
Street Direction
None
North
South
East
West
North East
North West
South East
South West
Province
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland & Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Occupancy Status
Own
Rent
Live with parents
Other
Time at Address
Years
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
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49
50
Months
1
2
3
4
5
6
7
8
9
10
11
Applicant Details
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Employment Information
Occupation
Management
Clerical
Labour/Tradesperson
Retired
Professional
Self-employed
Other
Industry
Construction
Government
Health
Education
High-tech
Retail sales
Leisure/Entertainment
Banking/Finance
Transportation
Services
Manufacturing
Farming/Natural Resources
Varies
Other
Employment Type
Full time
Part time
Seasonal
Length of Employment
Years
1
2
3
4
5
6
7
8
9
10
11
12
13
14
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16
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44
45
46
47
48
49
50
Months
1
2
3
4
5
6
7
8
9
10
11
Line of Business
Years
1
2
3
4
5
6
7
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30
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44
45
46
47
48
49
50
Months
1
2
3
4
5
6
7
8
9
10
11
Type of Income
Salary
Hourly
Hourly + commissions
Commissions
Self-employed
Other
Employer Address
Province
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland & Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Other Income
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Type of Income
Interest income
Child support
Pension
Alimony
Other
Co-Applicant Details
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Employment Information
Occupation
Management
Clerical
Labour/Tradesperson
Retired
Professional
Self-employed
Other
Industry
Construction
Government
Health
Education
High-tech
Retail sales
Leisure/Entertainment
Banking/Finance
Transportation
Services
Manufacturing
Farming/Natural Resources
Varies
Other
Employment Type
Full time
Part time
Seasonal
Length of Employment
Years
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
Months
1
2
3
4
5
6
7
8
9
10
11
Line of Business
Years
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
Months
1
2
3
4
5
6
7
8
9
10
11
Type of Income
Salary
Hourly
Hourly + commissions
Commissions
Self-employed
Other
Employer Address
Province
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland & Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Other Income
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Type of Income
Interest income
Child support
Pension
Alimony
Other
Subject Property
Property Address
Street Type
None
Allé
Avenue
Boulevard
Carré
Carrefour
Cercle
Chemin
Circle
Court
Creek
Crescent
Croissant
Drive
Esplanade
Gate
Lane
Parc
Place
Pointe
Quai
Rang
Road
Rue
Street
Terrace
Terrasse
Trail
Way
Street Direction
None
North
South
East
West
North East
North West
South East
South West
Province
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland & Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Property Description
Property Type
Detached
Semi-detached
Duplex - detached
Duplex - semi-detached
Row housing
Apartment low rise
Apartment high rise
Mobile
Triplex - detached
Triplex - semi-detached
Stacked
Modular home - detached
Modular home - semi-detached
Fourplex - detached
Fourplex - semi-detached
Liveable Area
Units
Square feet
Square meters
Property Style
One storey
Bi-level
Two storey
Split level
Storey and a half
Three storey
Other
Units
Feet
Meters
Garage Type
Attached
Detached
Garage Size
Single
Double
Triple
None
Occupancy Status
Owner-occupied
Owner-occupied & rental
Rental
Second home
Other Properties
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Property Address
Street Type
None
Allé
Avenue
Boulevard
Carré
Carrefour
Cercle
Chemin
Circle
Court
Creek
Crescent
Croissant
Drive
Esplanade
Gate
Lane
Parc
Place
Pointe
Quai
Rang
Road
Rue
Street
Terrace
Terrasse
Trail
Way
Street Direction
None
North
South
East
West
North East
North West
South East
South West
Province
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland & Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Occupied by
Owner-occupied
Owner-occupied & rental
Rental
Second home
Mortgage Details
Frequency
Monthly
Semi monthly
Biweekly
Accelerated biweekly
Weekly
Accelerated weekly
Financial Information
Assets
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Type
Savings
RRSP
Gift
Vehicle
Stocks/Bonds/Mutual
Household goods
Life insurance
Deposit on purchase
Other
Liabilities
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Type
Credit card
Personal loan
Auto loan
Alimony
Child support
Student loan
Wage garnishment
Unsecured line of credit
Income tax
Secured line of credit
Lease
Auto lease
Other
Application Submission
I/We warrant and confirm that the information given in the mortgage application form is true and correct and I/we understand that it is being collected and will be used to determine my/our credit responsibility. You are authorized to obtain any information you may require for these purposes from other sources (including, for example, credit reporting agencies) and each such source is hereby authorized to provide you with such information. I/we also understand that the information given in the mortgage application form as well as other information you obtain in relation to my credit history may be disclosed to potential mortgage lenders, financial intermediaries and mortgage insurers, organizations providing technological or other support services required in relation to this application and any other parties with whom I/we propose to have a financial relationship.
I/We consent to receive communications from Bill Dietrich as permitted by the Canadian Anti-SPAM Legislation.