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Our interest in your mortgage will save you money!
PRE-APPROVAL APPLICATION
Please fill in and sign the attached application as accurately as possible, and either scan or fax it
back to the contact information below. Submitting an application does not bind or obligate you
in any way. Any questions or additional information you may have can be addressed personally
when your mortgage planner contacts you with an initial response on your best financing
options.
F1RST CHO1CE Financial Group
4263 Sherwoodtowne Blvd, Suite 100,
Mississauga, ON, L4Z 1Y5
Phone: 416-315-1952
Fax: 1-888-589-8010
E-mail:
[email protected]
Website:
www.FirstChoiceFinancialGroup.ca
Mortgages provided through Verico The Mortgage Practice Inc.
FSCO Brokerage # 11156
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APPLICANT INFORMATION
First Name: Last Name: Marital Status: Dependents:
Home#: Cell#: Gender:
Date of Birth: SIN#: E-Mail: Current Address:
City: Province: Postal Code: Own___ Rent___ How Long at Address:
Previous Address: ( if less than 3 years)
City: Province: Postal Code: Own___ Rent___ How Long at Address:
EMPLOYMENT INFORMATION
Current Employer: Employers Address:
City: Province: Postal Code: Length of Employment: Work Phone#: Fax#:
Position: Hourly___ Salary___ Commission___ Self Emp____ Annual Income: Previous Employer, Position & Salary: (if less than 3 yrs)
Employers Address: Length of Employment:
CO-APPLICANT INFORMATION
First Name: Last Name: Marital Status: Dependents:
Home#: Cell# Gender:
Date of Birth: SIN#: E-Mail: Current Address: (if different than above)
City: Province: Postal Code: Own___ Rent___ How Long at Address:
Previous Address: ( if less than 3 years)
City: Province: Postal Code: Own___ Rent___ How Long at Address:
CO-APPLICANT EMPLOYMENT INFORMATION
Current Employer: Employers Address:
City: Province: Postal Code: Length of Employment: Work Phone#: Fax#:
Position: Hourly____ Salary___ Commission___ Self Emp____ Annual Income:
Previous Employer, Position & Salary: (if less than 3 yrs)
Employers Address: Length of Employment:
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Current Mortgage Lender: Renewal Date: Mortgage Rate: Mortgage Type: Fixed___ Variable___ Mortgage Payment: Payment Frequency: Original Purchase Price: Original Purchase Date: Balance Owing: Is Mortgage Insured: Yes___ No___ CHMC Insurance # Genworth Insurance # Annual Property Taxes: Are Taxes Included in Mortgage Payment? Yes
Yes
No Original Mortgage Amount: Current Mortgage Closing Date:
NEW MORTGAGE & PROPERTY INFORMATION
Purpose of Loan: Pre-Approval_____ Home Purchase_____ Transfer _____ Refinance ______ Rental Property______ New Home Purchase Price: Total Down Payment: Down Payment Source: Amount of Funds Required: New Property Closing Date:
Property Address: (please attach MLS Listing & Purchase Agreement with waivers) Annual Property Taxes:
ASSETS VALUE
Value of Current Home: Value of Second Property: Cash Savings:
Automobile #1: Automobile #2:
Stocks, Bonds, Mutual Funds: RRSP’s:
Deposit on New Home Purchase: Other Assets:
TOTAL ASSETS = $
LIABILITIES DESCRIPTION BALANCE MONTHLY PAYMENT
Mortgage #1: Mortgage #2: Automobile Loan: Automobile Loan: Credit Card #1: Credit Card #2: Credit Card #3: Credit Card #4:
Other Liabilities or Loans:
TOTAL ASSETS
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Are there any suits or judgments against you or pending against you? YES _____ NO _____ Have you ever gone through bankruptcy? YES _____ NO _____ Are any of your assets pledged or in any other manner unavailable for payment of your
debts?
YES _____ NO _____ Are any of your assets presently involved in a marriage or separation agreement? YES _____ NO _____ Are you the endorser or guarantor of anyone else’s debt? YES _____ NO _____ Are you the endorser or guarantor of any leases or contracts? YES _____ NO _____ Did you sign up for the mortgage life insurance offered through your bank or lender? YES _____ NO _____ Have you had your life insurance policies reviewed in the last 2 years? YES _____ NO _____ Do you own any personally owned life insurance policies? YES _____ NO _____ Is your existing insurance protection enough to cover your new debts and obligations? YES _____ NO _____ Do you have critical illness insurance in place to protect your assets if you become ill? YES _____ NO _____
Details of existing insurance policies: (term or permanent, year issued, amount of coverage, monthly premium, smoking status, etc.)
AUTHORIZATION & CONSENT
I/we warrant and confirm that the information given in the mortgage application from 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 re quire for these
purposes from other sources (including, for example, credit bureau) 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 bureau, creditors and tenants, my/our spouse or any other person who has information about
me/us for the purpose 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.
Signature of Applicant: Date:
