MORTGAGE 
APPLICATION
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Alternatively, you can click here to download a fillable pdf of this application.

 

When complete, email to liza.brown@mortgageedge.ca or

cheryl.hartwick@mortgageedge.ca

and we can get started!

Information marked with * is required.
Purpose of application* (please check):
PRIMARY APPLICANT
Please check if First-Time Home-Buyer:
First Name*
Last Name*
Date of Birth (mm/dd/yr)*
Phone Number*
Cell Number (if different)
Contact Email*
Social Insurance Number
CO-APPLICANT
Please check if First-Time Home-Buyer:
First Name
Last Name
Date of Birth (mm/dd/yr)
Phone Number
Cell Number (if different)
Contact Email
Social Insurance Number
CURRENT ADDRESS:
Street Number and Street Name*
City*
Province*
arrow&v
Postal Code*
Years There*
Rent or Own *
Rent Amount (in $ per month)
Marital Status
arrow&v
Number of Dependents
Ages of Dependents (separate by comma)
CURRENT ADDRESS:
Street Number and Street Name*
City
Province
arrow&v
Postal Code
Years There
Rent or Own 
Rent Amount (in $ per month)
Marital Status
arrow&v
Number of Dependents
Ages of Dependents (separate by comma)
IF LESS THAN 3 YEARS, PLEASE
PROVIDE PREVIOUS ADDRESS:
Previous Street Number and Street Name
City
Province
arrow&v
Postal Code
Years There
Rent or Own
Rent Amount (in $ per month)
IF LESS THAN 3 YEARS, PLEASE
PROVIDE PREVIOUS ADDRESS:
Previous Street Number and Street Name
City
Province
arrow&v
Postal Code
Years There
Rent or Own
Rent Amount (in $ per month)
EMPLOYMENT
Are you self-employed?*
Job Type*
arrow&v
Current Business or Employer Name*
Business Address*
Business Phone Number*
Job Title*
Years There*
Gross Income (yearly)*
Years in Industry*
If less than 3 years, please provide
previous employer.
Previous Employer
Previous Employer Business Address
Previous Business Phone Number
Previous Job Title
Years There
Gross Income (yearly)
Are you self-employed?
Job Type
arrow&v
Current Business or Employer Name
Business Address
Business Phone Number
Job Title
Years There
Gross Income (yearly)
Years in Industry
If less than 3 years, please provide
previous employer.
Previous Employer
Previous Employer Business Address
Previous Business Phone Number
Previous Job Title
Years There
Gross Income (yearly)
CHILD BENEFIT, CHILD SUPPORT, SPOUSAL SUPPORT
Does any applicant receive Canada Child Benefit? If so, what is the monthly amount received?
Primary Applicant
$
Co-Applicant
$
Does any applicant PAY OR RECEIVE Spousal Support? If so, what is the monthly amount?
Primary Applicant
$
Co-Applicant
$
ASSETS
Asset
Savings
RRSP
Gift
Stocks / Bonds / Mutual
Other
Vehicles
TOTAL ASSETS
Name of Institution
Value
$
$
$
$
$
$
$
$
$
Year, Make, and Model of Vehicle
Value
$
$
$
$
PROPERTIES OWNED BY APPLICANT
Property 1
Occupancy
Address of Property
Original Purchase Price
$
Original Purchase Date
Current Value
$
Mortgage Amount Owing
$
Payment
$
Payment Frequency
Maturity Date
Property Tax / Year
Lender
Interest %
$
Property 2
$
$
$
$
$

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 used to determine my/our credit responsibility and to evaluate and respond to my/our request

for mortgage financing. You are authorized to obtain any information you may require for these purposes from other

sources (including, for example, credit bureaux) and each source is hereby authorized to provide you with such

information. I/we also understand, acknowledge and agree 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,

mortgage insurers, other service providers, 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 further acknowledge and agree that each potential mortgage lender, mortgage insurer or service provider to whom

you provide the mortgage application and/or my/our personal information is permitted to receive such application and

information and maintain records relating to me/us and my/our mortgage application and to hold, use, communicate and

disclose personal information about me/us, including my/our Social Insurance Number (SIN) if I/we provide it, and

collect personal information from me/us, you and from third persons, including credit bureaux, credit reporting and

collection agencies, financial institutions, my/our past and present employers, creditors and tenants, my/our spouse or

any other person who has information about me/us for the purposes of recording, evaluating and responding to my/our

application for mortgage financing or related activities and I/we specifically consent to the release and disclosure of

personal information by such persons to and among you and each potential mortgage lender, mortgage insurer or other

service provider.

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Cheryl Hartwick 

613.969.7655

cheryl.hartwick@mortgageedge.ca

 

Liza Brown

613.848.5757

liza.brown@mortgageedge.ca

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